| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,407 |
6,163 |
$260K |
| E0601 |
Cont airway pressure device |
4,590 |
3,652 |
$128K |
| A7030 |
Cpap full face mask |
2,097 |
1,640 |
$103K |
| E0470 |
Rad w/o backup non-inv intfc |
1,999 |
1,431 |
$100K |
| A4604 |
Tubing with heating element |
2,460 |
1,914 |
$56K |
| E0562 |
Humidifier heated used w pap |
2,725 |
2,377 |
$52K |
| E0570 |
Nebulizer with compression |
3,587 |
2,756 |
$48K |
| E0431 |
Portable gaseous 02 |
7,182 |
5,147 |
$43K |
| A7034 |
Nasal application device |
1,302 |
978 |
$42K |
| A7035 |
Pos airway press headgear |
2,645 |
2,030 |
$26K |
| A7031 |
Replacement facemask interfa |
1,217 |
927 |
$22K |
| E0143 |
Walker folding wheeled w/o s |
553 |
425 |
$13K |
| A7038 |
Pos airway pressure filter |
4,472 |
3,402 |
$10K |
| A7033 |
Replacement nasal pillows |
434 |
339 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,051 |
756 |
$6K |
| A7005 |
Nondisposable nebulizer set |
558 |
476 |
$6K |
| A7037 |
Pos airway pressure tubing |
935 |
678 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
188 |
129 |
$3K |
| A7039 |
Filter, non disposable w pap |
784 |
567 |
$2K |
| E1150 |
Wheelchair standard w/ leg r |
75 |
70 |
$2K |
| A7032 |
Replacement nasal cushion |
34 |
24 |
$382.20 |
| A7015 |
Aerosol mask used w nebulize |
219 |
195 |
$184.46 |