| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
17,857 |
16,015 |
$1.03M |
| E0601 |
Cont airway pressure device |
5,480 |
5,009 |
$301K |
| E0466 |
Home vent non-invasive inter |
350 |
327 |
$256K |
| K0738 |
Portable gas oxygen system |
8,929 |
8,018 |
$239K |
| A7030 |
Cpap full face mask |
2,566 |
2,179 |
$196K |
| E0441 |
Stationary o2 contents, gas |
4,388 |
3,786 |
$195K |
| A7034 |
Nasal application device |
3,815 |
3,371 |
$192K |
| E0562 |
Humidifier heated used w pap |
1,147 |
1,038 |
$190K |
| A4604 |
Tubing with heating element |
3,646 |
3,051 |
$104K |
| A7031 |
Replacement facemask interfa |
2,977 |
2,493 |
$89K |
| A7035 |
Pos airway press headgear |
3,754 |
3,347 |
$69K |
| A7032 |
Replacement nasal cushion |
2,743 |
2,420 |
$57K |
| A7038 |
Pos airway pressure filter |
8,536 |
7,222 |
$37K |
| E0431 |
Portable gaseous 02 |
3,129 |
2,777 |
$35K |
| A7046 |
Repl water chamber, pap dev |
3,179 |
2,773 |
$34K |
| A7037 |
Pos airway pressure tubing |
1,575 |
1,390 |
$28K |
| A7033 |
Replacement nasal pillows |
1,420 |
1,197 |
$22K |
| E1392 |
Portable oxygen concentrator |
1,013 |
818 |
$18K |
| A4606 |
Oxygen probe used w oximeter |
151 |
98 |
$11K |
| E0570 |
Nebulizer with compression |
1,098 |
973 |
$10K |
| K0001 |
Standard wheelchair |
508 |
424 |
$6K |
| E0445 |
Oximeter non-invasive |
13 |
13 |
$4K |
| A9999 |
Dme supply or accessory, nos |
234 |
88 |
$2K |
| A7039 |
Filter, non disposable w pap |
186 |
158 |
$891.32 |
| E0600 |
Suction pump portab hom modl |
12 |
12 |
$395.41 |
| A7003 |
Nebulizer administration set |
100 |
94 |
$183.60 |
| E0951 |
Loop heel |
280 |
91 |
$95.51 |
| A7000 |
Disposable canister for pump |
15 |
13 |
$83.27 |
| A7002 |
Tubing used w suction pump |
17 |
13 |
$56.07 |