| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,526 |
3,258 |
$1.75M |
| E1390 |
Oxygen concentrator |
32,953 |
30,155 |
$1.22M |
| E0601 |
Cont airway pressure device |
7,246 |
6,721 |
$227K |
| E0431 |
Portable gaseous 02 |
17,099 |
15,656 |
$135K |
| A7030 |
Cpap full face mask |
3,147 |
2,875 |
$123K |
| E0570 |
Nebulizer with compression |
3,423 |
3,046 |
$119K |
| E0470 |
Rad w/o backup non-inv intfc |
1,469 |
1,350 |
$95K |
| A7031 |
Replacement facemask interfa |
3,930 |
3,332 |
$71K |
| E0562 |
Humidifier heated used w pap |
7,159 |
6,629 |
$70K |
| E1392 |
Portable oxygen concentrator |
3,384 |
3,008 |
$52K |
| A7034 |
Nasal application device |
1,509 |
1,382 |
$44K |
| A7035 |
Pos airway press headgear |
3,550 |
3,250 |
$36K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,516 |
1,368 |
$35K |
| A4604 |
Tubing with heating element |
1,327 |
1,218 |
$30K |
| A7037 |
Pos airway pressure tubing |
3,889 |
3,589 |
$27K |
| K0001 |
Standard wheelchair |
2,751 |
2,498 |
$24K |
| A7038 |
Pos airway pressure filter |
6,452 |
5,583 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,962 |
1,792 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
413 |
381 |
$10K |
| A7005 |
Nondisposable nebulizer set |
1,157 |
1,112 |
$10K |
| A7032 |
Replacement nasal cushion |
375 |
329 |
$7K |
| A7033 |
Replacement nasal pillows |
153 |
133 |
$3K |
| K0195 |
Elevating whlchair leg rests |
398 |
304 |
$2K |
| E0163 |
Commode chair with fixed arm |
28 |
25 |
$861.00 |
| E0443 |
Portable 02 contents, gas |
53 |
48 |
$199.64 |
| A7039 |
Filter, non disposable w pap |
17 |
13 |
$50.91 |