| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
58,878 |
51,798 |
$2.33M |
| E0466 |
Home vent non-invasive inter |
4,210 |
3,497 |
$1.09M |
| E0431 |
Portable gaseous 02 |
23,645 |
20,897 |
$224K |
| A7030 |
Cpap full face mask |
3,770 |
3,385 |
$132K |
| E0601 |
Cont airway pressure device |
5,012 |
4,406 |
$128K |
| A7037 |
Pos airway pressure tubing |
8,921 |
8,006 |
$113K |
| E0483 |
Hi freq chest wall oscil sys |
527 |
423 |
$96K |
| A7031 |
Replacement facemask interfa |
4,176 |
3,808 |
$92K |
| E0562 |
Humidifier heated used w pap |
4,042 |
3,534 |
$70K |
| A7038 |
Pos airway pressure filter |
11,477 |
10,337 |
$68K |
| E0570 |
Nebulizer with compression |
8,604 |
7,648 |
$65K |
| A7034 |
Nasal application device |
2,278 |
2,007 |
$65K |
| E0470 |
Rad w/o backup non-inv intfc |
1,006 |
863 |
$58K |
| A7035 |
Pos airway press headgear |
4,163 |
3,738 |
$56K |
| A7032 |
Replacement nasal cushion |
2,023 |
1,739 |
$51K |
| E1392 |
Portable oxygen concentrator |
6,391 |
5,628 |
$51K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,376 |
2,080 |
$50K |
| K0738 |
Portable gas oxygen system |
1,148 |
1,035 |
$21K |
| A7046 |
Repl water chamber, pap dev |
2,599 |
2,339 |
$21K |
| K0001 |
Standard wheelchair |
1,447 |
1,299 |
$16K |
| A7039 |
Filter, non disposable w pap |
1,809 |
1,633 |
$15K |
| A7005 |
Nondisposable nebulizer set |
1,946 |
1,761 |
$14K |
| K0003 |
Lightweight wheelchair |
716 |
667 |
$12K |
| A7033 |
Replacement nasal pillows |
337 |
305 |
$8K |
| A7003 |
Nebulizer administration set |
2,866 |
2,521 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
77 |
73 |
$2K |
| E0443 |
Portable 02 contents, gas |
269 |
233 |
$2K |
| A4604 |
Tubing with heating element |
41 |
38 |
$1K |
| J7613 |
Albuterol non-comp unit |
13 |
12 |
$523.96 |
| E0156 |
Walker seat attachment |
16 |
15 |
$460.96 |
| Q0513 |
Disp fee inhal drugs/30 days |
38 |
34 |
$86.08 |
| J7620 |
Albuterol ipratrop non-comp |
16 |
14 |
$0.00 |