| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
22,489 |
20,744 |
$909K |
| E0466 |
Home vent non-invasive inter |
934 |
811 |
$397K |
| A7030 |
Cpap full face mask |
1,799 |
1,704 |
$119K |
| E0431 |
Portable gaseous 02 |
11,509 |
10,577 |
$115K |
| A7031 |
Replacement facemask interfa |
2,176 |
2,053 |
$68K |
| A4604 |
Tubing with heating element |
2,715 |
2,525 |
$66K |
| E0570 |
Nebulizer with compression |
5,125 |
4,551 |
$65K |
| E0601 |
Cont airway pressure device |
2,064 |
1,830 |
$63K |
| A7032 |
Replacement nasal cushion |
1,413 |
1,325 |
$54K |
| A7034 |
Nasal application device |
1,234 |
1,136 |
$43K |
| E0562 |
Humidifier heated used w pap |
1,661 |
1,463 |
$30K |
| A7038 |
Pos airway pressure filter |
5,395 |
5,076 |
$22K |
| A7035 |
Pos airway press headgear |
1,884 |
1,766 |
$22K |
| E1392 |
Portable oxygen concentrator |
1,985 |
1,843 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,339 |
1,257 |
$9K |
| A7005 |
Nondisposable nebulizer set |
882 |
775 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
232 |
221 |
$8K |
| A7037 |
Pos airway pressure tubing |
248 |
241 |
$3K |
| A7003 |
Nebulizer administration set |
1,771 |
1,591 |
$3K |
| K0001 |
Standard wheelchair |
79 |
77 |
$2K |
| E0443 |
Portable 02 contents, gas |
12 |
12 |
$345.55 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$306.18 |
| A7014 |
Compressor nondispos filter |
96 |
80 |
$167.68 |
| A7013 |
Disposable compressor filter |
340 |
306 |
$135.35 |