| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
28,602 |
23,080 |
$1.40M |
| E0466 |
Home vent non-invasive inter |
1,189 |
913 |
$396K |
| E0601 |
Cont airway pressure device |
6,279 |
5,144 |
$190K |
| E0431 |
Portable gaseous 02 |
16,861 |
13,877 |
$182K |
| A7030 |
Cpap full face mask |
4,214 |
3,232 |
$179K |
| A4604 |
Tubing with heating element |
4,071 |
3,175 |
$89K |
| A7031 |
Replacement facemask interfa |
4,487 |
3,254 |
$79K |
| A7035 |
Pos airway press headgear |
3,691 |
2,905 |
$52K |
| E0562 |
Humidifier heated used w pap |
1,465 |
1,280 |
$50K |
| E0570 |
Nebulizer with compression |
2,494 |
2,017 |
$43K |
| A7038 |
Pos airway pressure filter |
7,495 |
5,740 |
$40K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,622 |
1,224 |
$40K |
| A7034 |
Nasal application device |
1,092 |
857 |
$34K |
| A7032 |
Replacement nasal cushion |
873 |
705 |
$23K |
| A7037 |
Pos airway pressure tubing |
1,744 |
1,358 |
$21K |
| A7046 |
Repl water chamber, pap dev |
2,060 |
1,554 |
$12K |
| K0001 |
Standard wheelchair |
1,009 |
807 |
$12K |
| E0143 |
Walker folding wheeled w/o s |
247 |
194 |
$6K |
| K0002 |
Stnd hemi (low seat) whlchr |
353 |
272 |
$6K |
| A7033 |
Replacement nasal pillows |
276 |
180 |
$4K |
| A7005 |
Nondisposable nebulizer set |
314 |
278 |
$3K |
| E1392 |
Portable oxygen concentrator |
803 |
578 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
16 |
12 |
$513.69 |
| E0443 |
Portable 02 contents, gas |
33 |
26 |
$412.41 |
| A7039 |
Filter, non disposable w pap |
73 |
63 |
$409.83 |
| A7003 |
Nebulizer administration set |
13 |
13 |
$105.72 |