| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
53,018 |
46,274 |
$2.54M |
| E0466 |
Home vent non-invasive inter |
3,806 |
3,182 |
$1.48M |
| K0738 |
Portable gas oxygen system |
30,896 |
27,378 |
$575K |
| E0601 |
Cont airway pressure device |
7,384 |
6,947 |
$440K |
| E0562 |
Humidifier heated used w pap |
1,860 |
1,626 |
$211K |
| A7034 |
Nasal application device |
4,985 |
4,448 |
$209K |
| A7030 |
Cpap full face mask |
2,832 |
2,372 |
$156K |
| E0431 |
Portable gaseous 02 |
9,521 |
8,377 |
$131K |
| K0001 |
Standard wheelchair |
4,139 |
3,914 |
$118K |
| E0470 |
Rad w/o backup non-inv intfc |
1,375 |
1,147 |
$94K |
| A4604 |
Tubing with heating element |
3,573 |
3,175 |
$93K |
| A7035 |
Pos airway press headgear |
5,951 |
5,237 |
$92K |
| E0424 |
Stationary compressed gas 02 |
1,542 |
1,398 |
$90K |
| A7032 |
Replacement nasal cushion |
3,050 |
2,692 |
$77K |
| E1392 |
Portable oxygen concentrator |
5,919 |
5,299 |
$75K |
| A7031 |
Replacement facemask interfa |
2,281 |
1,866 |
$58K |
| E0471 |
Rad w/backup non inv intrfc |
202 |
191 |
$52K |
| A7037 |
Pos airway pressure tubing |
4,366 |
3,819 |
$50K |
| A7038 |
Pos airway pressure filter |
8,373 |
7,436 |
$48K |
| E0570 |
Nebulizer with compression |
939 |
865 |
$35K |
| A7046 |
Repl water chamber, pap dev |
3,574 |
3,211 |
$32K |
| E0143 |
Walker folding wheeled w/o s |
269 |
247 |
$11K |
| A7033 |
Replacement nasal pillows |
483 |
454 |
$10K |
| E0295 |
Hosp bed semi-elect w/o matt |
323 |
290 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
397 |
329 |
$8K |
| A7005 |
Nondisposable nebulizer set |
524 |
463 |
$6K |
| E0630 |
Patient lift hydraulic |
205 |
172 |
$4K |
| A7036 |
Pos airway press chinstrap |
298 |
278 |
$3K |
| A7039 |
Filter, non disposable w pap |
467 |
407 |
$3K |
| K0003 |
Lightweight wheelchair |
45 |
37 |
$1K |
| E0434 |
Portable liquid 02 |
48 |
38 |
$348.37 |
| A7003 |
Nebulizer administration set |
435 |
385 |
$207.81 |
| A7013 |
Disposable compressor filter |
395 |
355 |
$167.13 |