| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,919 |
22,732 |
$770K |
| E0466 |
Home vent non-invasive inter |
872 |
778 |
$180K |
| E0431 |
Portable gaseous 02 |
12,952 |
11,721 |
$156K |
| E0483 |
Hi freq chest wall oscil sys |
626 |
569 |
$147K |
| A7030 |
Cpap full face mask |
1,406 |
1,257 |
$77K |
| E0601 |
Cont airway pressure device |
2,639 |
2,248 |
$68K |
| A7031 |
Replacement facemask interfa |
1,942 |
1,667 |
$39K |
| E0562 |
Humidifier heated used w pap |
3,025 |
2,585 |
$32K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,253 |
1,109 |
$22K |
| A7037 |
Pos airway pressure tubing |
2,281 |
2,065 |
$18K |
| E0570 |
Nebulizer with compression |
5,172 |
4,484 |
$16K |
| K0001 |
Standard wheelchair |
2,232 |
1,959 |
$12K |
| E1392 |
Portable oxygen concentrator |
1,458 |
1,317 |
$12K |
| A7035 |
Pos airway press headgear |
1,422 |
1,270 |
$12K |
| A7032 |
Replacement nasal cushion |
628 |
473 |
$12K |
| A7034 |
Nasal application device |
493 |
459 |
$11K |
| A7038 |
Pos airway pressure filter |
4,855 |
3,505 |
$10K |
| A7046 |
Repl water chamber, pap dev |
748 |
680 |
$6K |
| E0630 |
Patient lift hydraulic |
227 |
223 |
$3K |
| E0443 |
Portable 02 contents, gas |
235 |
185 |
$3K |
| A7003 |
Nebulizer administration set |
3,194 |
2,841 |
$3K |
| A7039 |
Filter, non disposable w pap |
489 |
459 |
$1K |
| A7005 |
Nondisposable nebulizer set |
304 |
282 |
$992.75 |
| E1130 |
Whlchr stand fxd arm ft rest |
12 |
12 |
$415.13 |
| E0143 |
Walker folding wheeled w/o s |
15 |
15 |
$300.94 |
| A4604 |
Tubing with heating element |
16 |
14 |
$299.09 |
| A7013 |
Disposable compressor filter |
12 |
12 |
$2.79 |