| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
23,432 |
21,540 |
$935K |
| E0431 |
Portable gaseous 02 |
9,292 |
8,482 |
$354K |
| E0466 |
Home vent non-invasive inter |
534 |
454 |
$120K |
| K0738 |
Portable gas oxygen system |
2,752 |
2,517 |
$103K |
| E0601 |
Cont airway pressure device |
3,284 |
2,932 |
$73K |
| A7030 |
Cpap full face mask |
1,362 |
1,247 |
$65K |
| A7031 |
Replacement facemask interfa |
1,667 |
1,494 |
$42K |
| A7038 |
Pos airway pressure filter |
5,159 |
4,696 |
$24K |
| E0562 |
Humidifier heated used w pap |
1,370 |
1,278 |
$21K |
| A7035 |
Pos airway press headgear |
1,510 |
1,376 |
$18K |
| A7034 |
Nasal application device |
555 |
493 |
$17K |
| A7037 |
Pos airway pressure tubing |
979 |
926 |
$12K |
| A4604 |
Tubing with heating element |
825 |
736 |
$10K |
| A7046 |
Repl water chamber, pap dev |
942 |
870 |
$6K |
| E0570 |
Nebulizer with compression |
1,071 |
1,001 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
52 |
51 |
$2K |
| E1392 |
Portable oxygen concentrator |
270 |
263 |
$2K |
| A7032 |
Replacement nasal cushion |
67 |
63 |
$2K |
| E0443 |
Portable 02 contents, gas |
125 |
125 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
32 |
26 |
$1K |
| A7039 |
Filter, non disposable w pap |
201 |
194 |
$1K |
| K0001 |
Standard wheelchair |
68 |
64 |
$904.74 |
| Q0513 |
Disp fee inhal drugs/30 days |
68 |
58 |
$696.68 |
| A7003 |
Nebulizer administration set |
669 |
609 |
$679.04 |
| A7033 |
Replacement nasal pillows |
15 |
14 |
$372.98 |