| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,123 |
13,063 |
$518K |
| E0466 |
Home vent non-invasive inter |
788 |
736 |
$405K |
| E0601 |
Cont airway pressure device |
4,589 |
4,280 |
$140K |
| A7030 |
Cpap full face mask |
2,633 |
2,416 |
$101K |
| A7031 |
Replacement facemask interfa |
3,682 |
2,981 |
$64K |
| E0470 |
Rad w/o backup non-inv intfc |
933 |
875 |
$62K |
| E0431 |
Portable gaseous 02 |
7,769 |
7,127 |
$62K |
| A4604 |
Tubing with heating element |
2,163 |
2,023 |
$54K |
| E0562 |
Humidifier heated used w pap |
4,882 |
4,589 |
$47K |
| E0570 |
Nebulizer with compression |
1,325 |
1,192 |
$36K |
| A7035 |
Pos airway press headgear |
2,591 |
2,407 |
$27K |
| A7034 |
Nasal application device |
618 |
578 |
$20K |
| E1392 |
Portable oxygen concentrator |
1,320 |
1,175 |
$18K |
| K0001 |
Standard wheelchair |
1,760 |
1,625 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,906 |
1,748 |
$12K |
| A7038 |
Pos airway pressure filter |
5,111 |
4,250 |
$11K |
| A7046 |
Repl water chamber, pap dev |
1,431 |
1,315 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
132 |
121 |
$2K |
| A7032 |
Replacement nasal cushion |
63 |
53 |
$2K |
| A7005 |
Nondisposable nebulizer set |
99 |
92 |
$839.63 |