| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
35,533 |
33,425 |
$2.71M |
| E0466 |
Home vent non-invasive inter |
4,434 |
4,372 |
$1.22M |
| E0601 |
Cont airway pressure device |
5,425 |
5,174 |
$252K |
| E0431 |
Portable gaseous 02 |
16,943 |
16,017 |
$234K |
| A7030 |
Cpap full face mask |
2,908 |
2,794 |
$204K |
| E0562 |
Humidifier heated used w pap |
6,157 |
5,800 |
$108K |
| A7031 |
Replacement facemask interfa |
2,654 |
2,551 |
$94K |
| E0470 |
Rad w/o backup non-inv intfc |
637 |
633 |
$79K |
| A7037 |
Pos airway pressure tubing |
3,597 |
3,511 |
$52K |
| E0570 |
Nebulizer with compression |
4,591 |
4,540 |
$48K |
| A7035 |
Pos airway press headgear |
2,703 |
2,630 |
$43K |
| A7034 |
Nasal application device |
973 |
950 |
$40K |
| A7038 |
Pos airway pressure filter |
7,321 |
7,044 |
$37K |
| E1392 |
Portable oxygen concentrator |
2,687 |
2,682 |
$28K |
| A7032 |
Replacement nasal cushion |
622 |
596 |
$25K |
| E0443 |
Portable 02 contents, gas |
933 |
919 |
$24K |
| K0001 |
Standard wheelchair |
930 |
832 |
$19K |
| A7046 |
Repl water chamber, pap dev |
2,139 |
2,084 |
$18K |
| A7005 |
Nondisposable nebulizer set |
1,124 |
1,093 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
372 |
371 |
$11K |
| A7003 |
Nebulizer administration set |
2,398 |
2,247 |
$3K |
| A7033 |
Replacement nasal pillows |
95 |
89 |
$3K |
| A4604 |
Tubing with heating element |
52 |
52 |
$2K |
| E0271 |
Mattress innerspring |
17 |
17 |
$709.50 |
| A7015 |
Aerosol mask used w nebulize |
639 |
613 |
$526.90 |
| A7013 |
Disposable compressor filter |
409 |
392 |
$216.51 |