| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
32,976 |
30,569 |
$2.13M |
| E0466 |
Home vent non-invasive inter |
1,061 |
942 |
$598K |
| E0424 |
Stationary compressed gas 02 |
2,965 |
2,867 |
$259K |
| A7030 |
Cpap full face mask |
3,141 |
2,948 |
$231K |
| E0431 |
Portable gaseous 02 |
11,280 |
10,652 |
$163K |
| E0601 |
Cont airway pressure device |
3,241 |
2,928 |
$154K |
| K0738 |
Portable gas oxygen system |
5,733 |
5,233 |
$144K |
| E0562 |
Humidifier heated used w pap |
808 |
729 |
$121K |
| A7031 |
Replacement facemask interfa |
4,073 |
3,734 |
$120K |
| E1392 |
Portable oxygen concentrator |
5,159 |
4,577 |
$106K |
| A7034 |
Nasal application device |
1,891 |
1,761 |
$89K |
| A4604 |
Tubing with heating element |
3,042 |
2,830 |
$82K |
| E0441 |
Stationary o2 contents, gas |
1,337 |
1,280 |
$65K |
| A7035 |
Pos airway press headgear |
2,751 |
2,601 |
$44K |
| E0470 |
Rad w/o backup non-inv intfc |
451 |
419 |
$40K |
| A7032 |
Replacement nasal cushion |
1,687 |
1,528 |
$34K |
| E0570 |
Nebulizer with compression |
2,621 |
2,465 |
$31K |
| A7038 |
Pos airway pressure filter |
7,078 |
6,466 |
$29K |
| E0143 |
Walker folding wheeled w/o s |
925 |
857 |
$20K |
| K0001 |
Standard wheelchair |
1,474 |
1,354 |
$19K |
| A7046 |
Repl water chamber, pap dev |
2,011 |
1,879 |
$19K |
| A7037 |
Pos airway pressure tubing |
948 |
867 |
$11K |
| A7033 |
Replacement nasal pillows |
599 |
544 |
$9K |
| A7005 |
Nondisposable nebulizer set |
377 |
358 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
1,179 |
606 |
$6K |
| E0260 |
Hosp bed semi-electr w/ matt |
232 |
198 |
$4K |
| K0002 |
Stnd hemi (low seat) whlchr |
212 |
192 |
$4K |
| E0240 |
Bath/shower chair |
133 |
51 |
$3K |
| E2601 |
Gen w/c cushion wdth < 22 in |
327 |
265 |
$2K |
| E0247 |
Trans bench w/wo comm open |
15 |
14 |
$1K |
| E0951 |
Loop heel |
438 |
247 |
$861.42 |
| E2611 |
Gen use back cush wdth <22in |
124 |
111 |
$726.43 |
| A7015 |
Aerosol mask used w nebulize |
228 |
216 |
$243.34 |
| A7039 |
Filter, non disposable w pap |
16 |
13 |
$77.01 |