| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,226 |
6,026 |
$160K |
| A7030 |
Cpap full face mask |
1,283 |
1,116 |
$57K |
| E0466 |
Home vent non-invasive inter |
232 |
173 |
$57K |
| E0601 |
Cont airway pressure device |
2,442 |
1,892 |
$54K |
| A4604 |
Tubing with heating element |
1,706 |
1,423 |
$29K |
| A7034 |
Nasal application device |
1,240 |
972 |
$27K |
| K0738 |
Portable gas oxygen system |
2,071 |
1,629 |
$24K |
| A7031 |
Replacement facemask interfa |
1,062 |
918 |
$18K |
| A7035 |
Pos airway press headgear |
1,943 |
1,577 |
$16K |
| A7032 |
Replacement nasal cushion |
660 |
468 |
$9K |
| E1392 |
Portable oxygen concentrator |
1,494 |
1,140 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
622 |
463 |
$6K |
| K0001 |
Standard wheelchair |
844 |
684 |
$6K |
| E0431 |
Portable gaseous 02 |
927 |
709 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,082 |
912 |
$6K |
| A7038 |
Pos airway pressure filter |
3,479 |
2,438 |
$5K |
| A7037 |
Pos airway pressure tubing |
902 |
714 |
$5K |
| E0570 |
Nebulizer with compression |
520 |
451 |
$5K |
| E0562 |
Humidifier heated used w pap |
97 |
90 |
$4K |
| A7033 |
Replacement nasal pillows |
187 |
136 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
14 |
12 |
$712.77 |