| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
454 |
436 |
$220K |
| E1390 |
Oxygen concentrator |
4,751 |
4,130 |
$164K |
| E0601 |
Cont airway pressure device |
3,166 |
2,877 |
$106K |
| E0483 |
Hi freq chest wall oscil sys |
164 |
153 |
$82K |
| A7030 |
Cpap full face mask |
733 |
655 |
$30K |
| E0562 |
Humidifier heated used w pap |
3,342 |
3,044 |
$29K |
| E0431 |
Portable gaseous 02 |
2,630 |
2,280 |
$20K |
| A4604 |
Tubing with heating element |
725 |
669 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
185 |
168 |
$12K |
| A7031 |
Replacement facemask interfa |
641 |
510 |
$9K |
| A7035 |
Pos airway press headgear |
881 |
798 |
$9K |
| E1392 |
Portable oxygen concentrator |
741 |
646 |
$9K |
| A7034 |
Nasal application device |
219 |
200 |
$7K |
| A7038 |
Pos airway pressure filter |
1,352 |
1,148 |
$3K |
| K0001 |
Standard wheelchair |
359 |
313 |
$3K |
| E0570 |
Nebulizer with compression |
317 |
275 |
$2K |
| A7037 |
Pos airway pressure tubing |
328 |
286 |
$2K |
| A7046 |
Repl water chamber, pap dev |
253 |
225 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
80 |
63 |
$931.24 |
| A7032 |
Replacement nasal cushion |
15 |
13 |
$257.96 |
| A7039 |
Filter, non disposable w pap |
28 |
27 |
$127.13 |