| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,898 |
14,151 |
$866K |
| E0466 |
Home vent non-invasive inter |
598 |
558 |
$344K |
| E0441 |
Stationary o2 contents, gas |
3,442 |
3,262 |
$154K |
| E0601 |
Cont airway pressure device |
2,241 |
2,007 |
$116K |
| K0738 |
Portable gas oxygen system |
4,197 |
3,902 |
$114K |
| E0424 |
Stationary compressed gas 02 |
1,520 |
1,473 |
$113K |
| E0562 |
Humidifier heated used w pap |
516 |
461 |
$81K |
| E0431 |
Portable gaseous 02 |
3,873 |
3,706 |
$59K |
| A7030 |
Cpap full face mask |
745 |
691 |
$57K |
| E0470 |
Rad w/o backup non-inv intfc |
259 |
239 |
$27K |
| A7031 |
Replacement facemask interfa |
688 |
634 |
$24K |
| A4604 |
Tubing with heating element |
833 |
767 |
$23K |
| E1392 |
Portable oxygen concentrator |
1,032 |
918 |
$19K |
| A7034 |
Nasal application device |
363 |
336 |
$17K |
| E0570 |
Nebulizer with compression |
777 |
745 |
$16K |
| A7035 |
Pos airway press headgear |
701 |
645 |
$12K |
| A7038 |
Pos airway pressure filter |
1,427 |
1,314 |
$7K |
| A7037 |
Pos airway pressure tubing |
231 |
227 |
$4K |
| A7046 |
Repl water chamber, pap dev |
342 |
323 |
$4K |
| A7032 |
Replacement nasal cushion |
144 |
141 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
68 |
66 |
$2K |
| K0001 |
Standard wheelchair |
222 |
214 |
$2K |
| A7005 |
Nondisposable nebulizer set |
91 |
88 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
68 |
65 |
$55.11 |