| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
27,808 |
24,257 |
$668K |
| E0466 |
Home vent non-invasive inter |
902 |
797 |
$116K |
| E0431 |
Portable gaseous 02 |
13,351 |
11,665 |
$78K |
| A7030 |
Cpap full face mask |
1,517 |
1,374 |
$53K |
| A7031 |
Replacement facemask interfa |
2,682 |
2,453 |
$49K |
| E0601 |
Cont airway pressure device |
2,022 |
1,831 |
$40K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,587 |
1,416 |
$27K |
| E1392 |
Portable oxygen concentrator |
2,964 |
2,601 |
$24K |
| E0570 |
Nebulizer with compression |
3,288 |
3,028 |
$23K |
| K0001 |
Standard wheelchair |
1,941 |
1,755 |
$19K |
| E0562 |
Humidifier heated used w pap |
2,598 |
2,329 |
$16K |
| A7032 |
Replacement nasal cushion |
530 |
497 |
$11K |
| A7038 |
Pos airway pressure filter |
4,677 |
4,330 |
$10K |
| A7035 |
Pos airway press headgear |
1,320 |
1,210 |
$10K |
| A7034 |
Nasal application device |
383 |
350 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,615 |
1,486 |
$8K |
| A4604 |
Tubing with heating element |
366 |
332 |
$6K |
| A7046 |
Repl water chamber, pap dev |
853 |
780 |
$4K |
| A7003 |
Nebulizer administration set |
1,367 |
1,243 |
$800.26 |
| A7039 |
Filter, non disposable w pap |
68 |
64 |
$185.41 |
| A7033 |
Replacement nasal pillows |
14 |
13 |
$168.21 |
| E0443 |
Portable 02 contents, gas |
66 |
63 |
$153.07 |
| A7005 |
Nondisposable nebulizer set |
27 |
26 |
$18.78 |