| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
84,894 |
82,916 |
$5.14M |
| E0466 |
Home vent non-invasive inter |
5,063 |
5,027 |
$1.28M |
| E0601 |
Cont airway pressure device |
16,987 |
16,838 |
$840K |
| E0431 |
Portable gaseous 02 |
54,262 |
52,889 |
$628K |
| A7030 |
Cpap full face mask |
5,406 |
5,385 |
$471K |
| E0562 |
Humidifier heated used w pap |
4,405 |
4,287 |
$395K |
| A7031 |
Replacement facemask interfa |
10,102 |
10,042 |
$392K |
| E1392 |
Portable oxygen concentrator |
17,011 |
16,697 |
$302K |
| A7034 |
Nasal application device |
4,853 |
4,834 |
$281K |
| E0470 |
Rad w/o backup non-inv intfc |
1,979 |
1,961 |
$240K |
| E0570 |
Nebulizer with compression |
15,249 |
15,013 |
$212K |
| A7032 |
Replacement nasal cushion |
4,618 |
4,598 |
$203K |
| A7037 |
Pos airway pressure tubing |
8,174 |
8,149 |
$148K |
| A7033 |
Replacement nasal pillows |
4,431 |
4,409 |
$145K |
| E0483 |
Hi freq chest wall oscil sys |
403 |
400 |
$141K |
| A7035 |
Pos airway press headgear |
6,886 |
6,856 |
$138K |
| A7038 |
Pos airway pressure filter |
21,922 |
21,784 |
$123K |
| A4604 |
Tubing with heating element |
2,576 |
2,566 |
$90K |
| K0001 |
Standard wheelchair |
3,033 |
2,958 |
$55K |
| A7046 |
Repl water chamber, pap dev |
4,729 |
4,720 |
$52K |
| E0143 |
Walker folding wheeled w/o s |
1,210 |
1,196 |
$39K |
| E0443 |
Portable 02 contents, gas |
1,563 |
1,486 |
$20K |
| E0471 |
Rad w/backup non inv intrfc |
36 |
36 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
426 |
417 |
$6K |
| A7003 |
Nebulizer administration set |
5,437 |
5,193 |
$5K |
| G0249 |
Provide inr test mater/equip |
70 |
68 |
$5K |
| A7005 |
Nondisposable nebulizer set |
845 |
842 |
$5K |
| A7036 |
Pos airway press chinstrap |
281 |
280 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
479 |
476 |
$544.83 |
| E0156 |
Walker seat attachment |
25 |
25 |
$153.81 |
| A7013 |
Disposable compressor filter |
44 |
44 |
$31.42 |