| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,331 |
13,492 |
$907K |
| E0601 |
Cont airway pressure device |
4,539 |
4,125 |
$238K |
| K0738 |
Portable gas oxygen system |
9,289 |
8,485 |
$177K |
| A7034 |
Nasal application device |
1,809 |
1,539 |
$104K |
| A7030 |
Cpap full face mask |
1,110 |
957 |
$92K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,485 |
1,276 |
$79K |
| E0470 |
Rad w/o backup non-inv intfc |
689 |
623 |
$73K |
| A7032 |
Replacement nasal cushion |
1,412 |
1,223 |
$65K |
| E0466 |
Home vent non-invasive inter |
151 |
99 |
$59K |
| A7031 |
Replacement facemask interfa |
1,401 |
1,268 |
$59K |
| A4604 |
Tubing with heating element |
1,572 |
1,342 |
$52K |
| E0562 |
Humidifier heated used w pap |
419 |
301 |
$46K |
| A7035 |
Pos airway press headgear |
2,201 |
1,868 |
$43K |
| A7033 |
Replacement nasal pillows |
1,254 |
1,123 |
$42K |
| E0431 |
Portable gaseous 02 |
2,171 |
1,938 |
$36K |
| A7038 |
Pos airway pressure filter |
6,199 |
5,403 |
$28K |
| A7037 |
Pos airway pressure tubing |
1,305 |
1,110 |
$23K |
| E1392 |
Portable oxygen concentrator |
1,202 |
1,046 |
$16K |
| E0445 |
Oximeter non-invasive |
38 |
36 |
$11K |
| K0001 |
Standard wheelchair |
602 |
511 |
$11K |
| A7046 |
Repl water chamber, pap dev |
1,023 |
932 |
$10K |
| E0600 |
Suction pump portab hom modl |
242 |
231 |
$8K |
| E0630 |
Patient lift hydraulic |
198 |
170 |
$5K |
| E0424 |
Stationary compressed gas 02 |
100 |
97 |
$3K |
| A7000 |
Disposable canister for pump |
204 |
126 |
$2K |
| A7526 |
Tracheostomy tube collar |
20 |
15 |
$554.71 |
| A4628 |
Oropharyngeal suction cath |
45 |
37 |
$309.61 |
| E0570 |
Nebulizer with compression |
63 |
60 |
$248.05 |
| A7003 |
Nebulizer administration set |
28 |
24 |
$58.33 |