| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,048 |
1,851 |
$379K |
| E1390 |
Oxygen concentrator |
5,681 |
4,999 |
$126K |
| E0483 |
Hi freq chest wall oscil sys |
552 |
500 |
$93K |
| E0601 |
Cont airway pressure device |
2,091 |
1,824 |
$33K |
| A7038 |
Pos airway pressure filter |
1,808 |
1,374 |
$23K |
| A7031 |
Replacement facemask interfa |
1,411 |
1,054 |
$20K |
| A7030 |
Cpap full face mask |
942 |
728 |
$18K |
| E1392 |
Portable oxygen concentrator |
1,328 |
1,186 |
$12K |
| E0431 |
Portable gaseous 02 |
2,828 |
2,450 |
$12K |
| E0261 |
Hosp bed semi-electr w/o mat |
493 |
433 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,230 |
941 |
$7K |
| E0443 |
Portable 02 contents, gas |
415 |
385 |
$4K |
| K0003 |
Lightweight wheelchair |
309 |
256 |
$3K |
| E0562 |
Humidifier heated used w pap |
676 |
536 |
$3K |
| A7035 |
Pos airway press headgear |
669 |
531 |
$3K |
| E0570 |
Nebulizer with compression |
709 |
665 |
$2K |
| E0973 |
W/ch access det adj armrest |
733 |
360 |
$2K |
| K0001 |
Standard wheelchair |
191 |
162 |
$1K |
| E0295 |
Hosp bed semi-elect w/o matt |
161 |
145 |
$1K |
| A7039 |
Filter, non disposable w pap |
409 |
315 |
$842.75 |
| A7034 |
Nasal application device |
63 |
49 |
$741.64 |
| A7032 |
Replacement nasal cushion |
39 |
26 |
$317.42 |
| E0951 |
Loop heel |
368 |
164 |
$287.89 |
| E0971 |
Wheelchair anti-tipping devi |
401 |
173 |
$156.45 |
| A7046 |
Repl water chamber, pap dev |
70 |
62 |
$149.38 |
| E0961 |
Wheelchair brake extension |
241 |
104 |
$38.67 |