| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,702 |
12,116 |
$689K |
| E0466 |
Home vent non-invasive inter |
1,592 |
1,019 |
$341K |
| E0431 |
Portable gaseous 02 |
10,763 |
8,027 |
$87K |
| E0601 |
Cont airway pressure device |
1,781 |
1,244 |
$46K |
| K0001 |
Standard wheelchair |
744 |
544 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
162 |
116 |
$7K |
| E0570 |
Nebulizer with compression |
1,625 |
1,219 |
$7K |
| A7030 |
Cpap full face mask |
168 |
129 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
176 |
146 |
$5K |
| E1392 |
Portable oxygen concentrator |
471 |
344 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
201 |
140 |
$4K |
| A7037 |
Pos airway pressure tubing |
474 |
342 |
$2K |
| A7038 |
Pos airway pressure filter |
1,056 |
775 |
$2K |
| A7035 |
Pos airway press headgear |
246 |
184 |
$2K |
| A7031 |
Replacement facemask interfa |
115 |
92 |
$826.76 |
| A7034 |
Nasal application device |
34 |
25 |
$657.81 |
| E0163 |
Commode chair with fixed arm |
17 |
14 |
$494.74 |
| A9279 |
Monitoring feature/devicenoc |
92 |
76 |
$349.87 |
| A7039 |
Filter, non disposable w pap |
68 |
51 |
$299.32 |
| A7046 |
Repl water chamber, pap dev |
19 |
12 |
$17.63 |