| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,457 |
22,445 |
$964K |
| E0466 |
Home vent non-invasive inter |
2,952 |
2,614 |
$799K |
| E0431 |
Portable gaseous 02 |
15,702 |
14,324 |
$103K |
| A7031 |
Replacement facemask interfa |
2,297 |
2,195 |
$63K |
| A7030 |
Cpap full face mask |
1,194 |
1,145 |
$63K |
| E0601 |
Cont airway pressure device |
1,435 |
1,336 |
$40K |
| E0570 |
Nebulizer with compression |
4,832 |
4,523 |
$25K |
| E0562 |
Humidifier heated used w pap |
2,089 |
1,953 |
$22K |
| K0001 |
Standard wheelchair |
2,277 |
2,132 |
$20K |
| A7037 |
Pos airway pressure tubing |
1,572 |
1,504 |
$15K |
| E0445 |
Oximeter non-invasive |
91 |
91 |
$12K |
| E0443 |
Portable 02 contents, gas |
806 |
728 |
$11K |
| A7038 |
Pos airway pressure filter |
3,261 |
3,102 |
$10K |
| E1392 |
Portable oxygen concentrator |
1,809 |
1,693 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
753 |
678 |
$9K |
| A7035 |
Pos airway press headgear |
621 |
602 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
47 |
44 |
$4K |
| A7003 |
Nebulizer administration set |
2,413 |
2,183 |
$2K |
| A7046 |
Repl water chamber, pap dev |
207 |
200 |
$1K |
| E0600 |
Suction pump portab hom modl |
24 |
24 |
$701.64 |
| A7039 |
Filter, non disposable w pap |
14 |
14 |
$51.72 |