| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
66,871 |
61,070 |
$3.12M |
| E0466 |
Home vent non-invasive inter |
4,208 |
3,439 |
$1.17M |
| E0601 |
Cont airway pressure device |
4,801 |
3,962 |
$137K |
| A7031 |
Replacement facemask interfa |
4,817 |
4,206 |
$114K |
| E0431 |
Portable gaseous 02 |
10,624 |
9,327 |
$82K |
| A7030 |
Cpap full face mask |
1,595 |
1,360 |
$61K |
| A7037 |
Pos airway pressure tubing |
6,147 |
5,354 |
$56K |
| E0483 |
Hi freq chest wall oscil sys |
186 |
147 |
$52K |
| E0562 |
Humidifier heated used w pap |
5,894 |
4,797 |
$40K |
| A7032 |
Replacement nasal cushion |
1,206 |
1,078 |
$32K |
| A7035 |
Pos airway press headgear |
2,026 |
1,745 |
$22K |
| A7038 |
Pos airway pressure filter |
7,564 |
6,530 |
$22K |
| E0570 |
Nebulizer with compression |
2,774 |
2,088 |
$20K |
| A7034 |
Nasal application device |
401 |
355 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,378 |
1,223 |
$11K |
| E1392 |
Portable oxygen concentrator |
1,379 |
1,184 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
336 |
302 |
$8K |
| K0001 |
Standard wheelchair |
461 |
363 |
$3K |
| A7003 |
Nebulizer administration set |
1,211 |
1,015 |
$639.94 |
| E0443 |
Portable 02 contents, gas |
28 |
24 |
$456.06 |
| A7039 |
Filter, non disposable w pap |
103 |
88 |
$338.60 |
| A7005 |
Nondisposable nebulizer set |
53 |
41 |
$182.65 |
| A7013 |
Disposable compressor filter |
17 |
14 |
$4.48 |