| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
61,205 |
58,372 |
$3.99M |
| E0466 |
Home vent non-invasive inter |
1,534 |
1,477 |
$925K |
| E0431 |
Portable gaseous 02 |
29,152 |
27,631 |
$386K |
| E0601 |
Cont airway pressure device |
6,850 |
6,104 |
$369K |
| A7030 |
Cpap full face mask |
3,720 |
3,463 |
$295K |
| E0424 |
Stationary compressed gas 02 |
2,827 |
2,741 |
$269K |
| E0562 |
Humidifier heated used w pap |
1,701 |
1,433 |
$253K |
| A7037 |
Pos airway pressure tubing |
4,717 |
4,460 |
$83K |
| A7035 |
Pos airway press headgear |
3,765 |
3,556 |
$72K |
| E0470 |
Rad w/o backup non-inv intfc |
621 |
520 |
$72K |
| A7034 |
Nasal application device |
1,498 |
1,390 |
$68K |
| A7031 |
Replacement facemask interfa |
2,474 |
2,240 |
$62K |
| E0570 |
Nebulizer with compression |
3,447 |
3,228 |
$50K |
| A7038 |
Pos airway pressure filter |
6,214 |
5,789 |
$30K |
| A4604 |
Tubing with heating element |
887 |
827 |
$26K |
| A7046 |
Repl water chamber, pap dev |
1,722 |
1,571 |
$16K |
| K0001 |
Standard wheelchair |
1,522 |
1,349 |
$15K |
| E0143 |
Walker folding wheeled w/o s |
499 |
474 |
$15K |
| A7039 |
Filter, non disposable w pap |
1,737 |
1,612 |
$9K |
| A7032 |
Replacement nasal cushion |
369 |
338 |
$7K |
| A7003 |
Nebulizer administration set |
505 |
490 |
$2K |
| E0261 |
Hosp bed semi-electr w/o mat |
25 |
24 |
$934.69 |
| E1392 |
Portable oxygen concentrator |
27 |
27 |
$743.71 |
| A9279 |
Monitoring feature/devicenoc |
25 |
24 |
$0.00 |