| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
30,365 |
27,913 |
$1.16M |
| E0466 |
Home vent non-invasive inter |
2,691 |
2,443 |
$621K |
| E0431 |
Portable gaseous 02 |
6,816 |
6,194 |
$84K |
| E0483 |
Hi freq chest wall oscil sys |
153 |
137 |
$44K |
| E0570 |
Nebulizer with compression |
6,398 |
5,946 |
$35K |
| E0601 |
Cont airway pressure device |
708 |
620 |
$10K |
| E1392 |
Portable oxygen concentrator |
1,186 |
1,120 |
$10K |
| E0562 |
Humidifier heated used w pap |
731 |
646 |
$8K |
| E0443 |
Portable 02 contents, gas |
637 |
486 |
$7K |
| K0001 |
Standard wheelchair |
864 |
810 |
$6K |
| A7003 |
Nebulizer administration set |
4,714 |
4,217 |
$5K |
| A7037 |
Pos airway pressure tubing |
750 |
702 |
$5K |
| A7031 |
Replacement facemask interfa |
170 |
155 |
$4K |
| A7030 |
Cpap full face mask |
70 |
67 |
$3K |
| A7005 |
Nondisposable nebulizer set |
761 |
732 |
$3K |
| A7038 |
Pos airway pressure filter |
1,492 |
1,226 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
75 |
65 |
$2K |
| A7035 |
Pos airway press headgear |
133 |
125 |
$842.36 |
| A7046 |
Repl water chamber, pap dev |
27 |
26 |
$88.89 |
| A7015 |
Aerosol mask used w nebulize |
154 |
135 |
$77.43 |