| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,162 |
1,988 |
$107K |
| E0445 |
Oximeter non-invasive |
454 |
412 |
$25K |
| E0466 |
Home vent non-invasive inter |
44 |
40 |
$24K |
| A7030 |
Cpap full face mask |
280 |
262 |
$20K |
| K0738 |
Portable gas oxygen system |
600 |
543 |
$18K |
| A4604 |
Tubing with heating element |
411 |
383 |
$13K |
| A7031 |
Replacement facemask interfa |
405 |
378 |
$13K |
| E0600 |
Suction pump portab hom modl |
385 |
315 |
$10K |
| E1392 |
Portable oxygen concentrator |
600 |
582 |
$7K |
| A7034 |
Nasal application device |
116 |
109 |
$6K |
| E0601 |
Cont airway pressure device |
306 |
286 |
$5K |
| E0565 |
Compressor air power source |
151 |
146 |
$4K |
| A7035 |
Pos airway press headgear |
222 |
204 |
$3K |
| A7032 |
Replacement nasal cushion |
98 |
96 |
$3K |
| A7038 |
Pos airway pressure filter |
807 |
746 |
$3K |
| B4035 |
Enteral feed supp pump per d |
14 |
12 |
$3K |
| E0570 |
Nebulizer with compression |
140 |
118 |
$3K |
| A7046 |
Repl water chamber, pap dev |
213 |
198 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
12 |
12 |
$423.70 |
| A7033 |
Replacement nasal pillows |
16 |
12 |
$375.88 |
| E0431 |
Portable gaseous 02 |
15 |
14 |
$38.06 |