| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
41,498 |
37,522 |
$1.81M |
| E0466 |
Home vent non-invasive inter |
3,500 |
2,991 |
$1.13M |
| A7031 |
Replacement facemask interfa |
3,853 |
3,512 |
$93K |
| E0431 |
Portable gaseous 02 |
10,946 |
9,628 |
$84K |
| E0601 |
Cont airway pressure device |
2,301 |
1,987 |
$76K |
| A7030 |
Cpap full face mask |
1,159 |
984 |
$41K |
| A7037 |
Pos airway pressure tubing |
4,284 |
3,822 |
$38K |
| E1392 |
Portable oxygen concentrator |
1,985 |
1,750 |
$26K |
| E0562 |
Humidifier heated used w pap |
2,589 |
2,232 |
$22K |
| A7038 |
Pos airway pressure filter |
5,481 |
4,864 |
$16K |
| A7035 |
Pos airway press headgear |
1,526 |
1,279 |
$15K |
| E0260 |
Hosp bed semi-electr w/ matt |
333 |
296 |
$10K |
| E0483 |
Hi freq chest wall oscil sys |
34 |
24 |
$9K |
| A7046 |
Repl water chamber, pap dev |
990 |
859 |
$7K |
| E0570 |
Nebulizer with compression |
1,139 |
898 |
$6K |
| A7034 |
Nasal application device |
94 |
72 |
$2K |
| E0443 |
Portable 02 contents, gas |
326 |
235 |
$2K |
| A4604 |
Tubing with heating element |
45 |
39 |
$1K |
| A7003 |
Nebulizer administration set |
1,884 |
1,555 |
$1K |
| A7032 |
Replacement nasal cushion |
18 |
14 |
$355.58 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$202.51 |
| A7039 |
Filter, non disposable w pap |
52 |
44 |
$168.06 |
| K0001 |
Standard wheelchair |
16 |
12 |
$153.49 |