| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
17,188 |
16,535 |
$964K |
| E0466 |
Home vent non-invasive inter |
643 |
642 |
$208K |
| E0431 |
Portable gaseous 02 |
10,336 |
9,904 |
$123K |
| E0601 |
Cont airway pressure device |
936 |
905 |
$44K |
| E0562 |
Humidifier heated used w pap |
1,182 |
1,150 |
$22K |
| E0570 |
Nebulizer with compression |
4,098 |
4,056 |
$21K |
| E1392 |
Portable oxygen concentrator |
1,701 |
1,648 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
106 |
106 |
$13K |
| B4035 |
Enteral feed supp pump per d |
222 |
205 |
$11K |
| K0001 |
Standard wheelchair |
352 |
352 |
$10K |
| A7038 |
Pos airway pressure filter |
1,041 |
1,020 |
$7K |
| E0443 |
Portable 02 contents, gas |
261 |
204 |
$6K |
| A7035 |
Pos airway press headgear |
181 |
178 |
$3K |
| A7032 |
Replacement nasal cushion |
83 |
78 |
$3K |
| A7003 |
Nebulizer administration set |
1,305 |
1,260 |
$1K |
| A7034 |
Nasal application device |
25 |
25 |
$1K |
| A7031 |
Replacement facemask interfa |
31 |
29 |
$962.33 |
| A7030 |
Cpap full face mask |
30 |
30 |
$956.62 |
| A4604 |
Tubing with heating element |
52 |
52 |
$858.53 |
| A7037 |
Pos airway pressure tubing |
37 |
37 |
$829.29 |
| A7046 |
Repl water chamber, pap dev |
24 |
24 |
$221.22 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$48.02 |