| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
4,227 |
3,807 |
$1.32M |
| E1390 |
Oxygen concentrator |
29,843 |
27,863 |
$1.31M |
| A7030 |
Cpap full face mask |
4,708 |
4,512 |
$275K |
| A7031 |
Replacement facemask interfa |
8,413 |
8,061 |
$262K |
| E0601 |
Cont airway pressure device |
5,499 |
5,178 |
$174K |
| E0431 |
Portable gaseous 02 |
14,145 |
13,233 |
$115K |
| E0445 |
Oximeter non-invasive |
949 |
925 |
$97K |
| E0562 |
Humidifier heated used w pap |
6,742 |
6,414 |
$79K |
| A7037 |
Pos airway pressure tubing |
5,776 |
5,527 |
$67K |
| A7035 |
Pos airway press headgear |
3,550 |
3,389 |
$44K |
| A7034 |
Nasal application device |
1,290 |
1,226 |
$43K |
| A7038 |
Pos airway pressure filter |
11,949 |
11,403 |
$41K |
| E0470 |
Rad w/o backup non-inv intfc |
334 |
327 |
$34K |
| E0570 |
Nebulizer with compression |
5,652 |
5,208 |
$33K |
| A7032 |
Replacement nasal cushion |
1,006 |
974 |
$26K |
| K0001 |
Standard wheelchair |
2,467 |
2,300 |
$24K |
| E0260 |
Hosp bed semi-electr w/ matt |
748 |
705 |
$21K |
| A7033 |
Replacement nasal pillows |
849 |
829 |
$20K |
| A7046 |
Repl water chamber, pap dev |
2,844 |
2,705 |
$18K |
| E1392 |
Portable oxygen concentrator |
2,527 |
2,284 |
$15K |
| E0143 |
Walker folding wheeled w/o s |
329 |
312 |
$8K |
| E0443 |
Portable 02 contents, gas |
459 |
411 |
$4K |
| E0600 |
Suction pump portab hom modl |
217 |
203 |
$3K |
| A7003 |
Nebulizer administration set |
3,862 |
3,523 |
$3K |
| A7005 |
Nondisposable nebulizer set |
257 |
242 |
$810.16 |
| A7039 |
Filter, non disposable w pap |
142 |
135 |
$447.53 |
| K0195 |
Elevating whlchair leg rests |
28 |
26 |
$126.34 |
| E0776 |
Iv pole |
14 |
12 |
$69.63 |
| A4604 |
Tubing with heating element |
211 |
186 |
$0.00 |