| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,109 |
2,604 |
$1.16M |
| E1390 |
Oxygen concentrator |
28,776 |
24,631 |
$1.01M |
| E0601 |
Cont airway pressure device |
11,706 |
10,326 |
$300K |
| E0431 |
Portable gaseous 02 |
25,889 |
22,102 |
$188K |
| A7030 |
Cpap full face mask |
3,452 |
3,112 |
$185K |
| E0562 |
Humidifier heated used w pap |
10,247 |
8,946 |
$128K |
| A7034 |
Nasal application device |
2,512 |
2,261 |
$87K |
| E0470 |
Rad w/o backup non-inv intfc |
941 |
817 |
$61K |
| A7035 |
Pos airway press headgear |
3,731 |
3,344 |
$43K |
| A7037 |
Pos airway pressure tubing |
4,400 |
3,938 |
$40K |
| A7031 |
Replacement facemask interfa |
2,405 |
2,013 |
$37K |
| A7032 |
Replacement nasal cushion |
1,833 |
1,569 |
$34K |
| A4604 |
Tubing with heating element |
1,120 |
1,038 |
$32K |
| A7038 |
Pos airway pressure filter |
7,833 |
6,516 |
$23K |
| E0570 |
Nebulizer with compression |
3,173 |
2,817 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,878 |
1,641 |
$13K |
| A7039 |
Filter, non disposable w pap |
2,397 |
2,130 |
$10K |
| E1392 |
Portable oxygen concentrator |
870 |
771 |
$9K |
| A7033 |
Replacement nasal pillows |
232 |
208 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
106 |
98 |
$4K |
| K0001 |
Standard wheelchair |
323 |
276 |
$3K |
| A6402 |
Sterile gauze <= 16 sq in |
122 |
115 |
$875.85 |
| A9279 |
Monitoring feature/devicenoc |
2,200 |
1,754 |
$689.75 |
| A7036 |
Pos airway press chinstrap |
66 |
59 |
$461.96 |
| A7005 |
Nondisposable nebulizer set |
13 |
12 |
$125.99 |
| A7013 |
Disposable compressor filter |
13 |
12 |
$4.24 |
| A7003 |
Nebulizer administration set |
13 |
12 |
$0.00 |