| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
47,250 |
40,758 |
$2.02M |
| E0466 |
Home vent non-invasive inter |
3,208 |
2,773 |
$1.26M |
| K0738 |
Portable gas oxygen system |
10,974 |
9,813 |
$195K |
| E0424 |
Stationary compressed gas 02 |
2,630 |
2,375 |
$188K |
| E0431 |
Portable gaseous 02 |
12,612 |
11,564 |
$169K |
| E0601 |
Cont airway pressure device |
4,228 |
3,527 |
$103K |
| A7030 |
Cpap full face mask |
3,260 |
1,840 |
$70K |
| E0562 |
Humidifier heated used w pap |
673 |
402 |
$56K |
| E1392 |
Portable oxygen concentrator |
3,093 |
2,893 |
$33K |
| A7034 |
Nasal application device |
2,416 |
1,236 |
$29K |
| A7031 |
Replacement facemask interfa |
2,172 |
1,289 |
$25K |
| A7037 |
Pos airway pressure tubing |
3,827 |
2,446 |
$23K |
| A7035 |
Pos airway press headgear |
4,135 |
2,313 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
271 |
195 |
$11K |
| A7046 |
Repl water chamber, pap dev |
2,516 |
1,512 |
$9K |
| A4604 |
Tubing with heating element |
835 |
414 |
$8K |
| A7038 |
Pos airway pressure filter |
5,536 |
3,162 |
$7K |
| A7032 |
Replacement nasal cushion |
668 |
292 |
$6K |
| E0441 |
Stationary o2 contents, gas |
126 |
118 |
$6K |
| E0434 |
Portable liquid 02 |
477 |
429 |
$6K |
| E0439 |
Stationary liquid 02 |
170 |
152 |
$5K |
| E0570 |
Nebulizer with compression |
501 |
454 |
$3K |
| K0001 |
Standard wheelchair |
317 |
257 |
$2K |