| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,856 |
9,983 |
$244K |
| A7030 |
Cpap full face mask |
2,481 |
2,067 |
$87K |
| E0601 |
Cont airway pressure device |
3,429 |
2,790 |
$58K |
| E0431 |
Portable gaseous 02 |
7,579 |
6,320 |
$34K |
| A7031 |
Replacement facemask interfa |
2,032 |
1,663 |
$23K |
| A7034 |
Nasal application device |
1,177 |
953 |
$20K |
| A7037 |
Pos airway pressure tubing |
3,521 |
2,963 |
$18K |
| E0562 |
Humidifier heated used w pap |
1,036 |
846 |
$18K |
| A7035 |
Pos airway press headgear |
2,276 |
1,877 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
408 |
328 |
$10K |
| A7038 |
Pos airway pressure filter |
4,979 |
4,078 |
$9K |
| E2402 |
Neg press wound therapy pump |
71 |
44 |
$7K |
| A7046 |
Repl water chamber, pap dev |
1,399 |
1,176 |
$6K |
| A7032 |
Replacement nasal cushion |
508 |
408 |
$4K |
| A7039 |
Filter, non disposable w pap |
1,433 |
1,226 |
$4K |
| A6550 |
Neg pres wound ther drsg set |
66 |
26 |
$3K |
| E0570 |
Nebulizer with compression |
640 |
566 |
$3K |
| K0001 |
Standard wheelchair |
410 |
369 |
$2K |
| E1392 |
Portable oxygen concentrator |
256 |
201 |
$2K |
| E0261 |
Hosp bed semi-electr w/o mat |
180 |
177 |
$1K |
| A7033 |
Replacement nasal pillows |
100 |
77 |
$839.91 |
| A7000 |
Disposable canister for pump |
30 |
13 |
$594.46 |
| A9279 |
Monitoring feature/devicenoc |
212 |
130 |
$200.00 |
| E0443 |
Portable 02 contents, gas |
16 |
13 |
$24.21 |