| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
22,662 |
20,067 |
$488K |
| A7030 |
Cpap full face mask |
1,829 |
1,682 |
$68K |
| A7031 |
Replacement facemask interfa |
3,357 |
3,060 |
$66K |
| E0431 |
Portable gaseous 02 |
12,063 |
10,614 |
$63K |
| A4604 |
Tubing with heating element |
3,030 |
2,756 |
$52K |
| E0466 |
Home vent non-invasive inter |
308 |
264 |
$50K |
| E0601 |
Cont airway pressure device |
2,311 |
2,144 |
$47K |
| A7032 |
Replacement nasal cushion |
1,565 |
1,470 |
$34K |
| A7034 |
Nasal application device |
1,130 |
1,037 |
$26K |
| E1392 |
Portable oxygen concentrator |
2,915 |
2,672 |
$25K |
| E0562 |
Humidifier heated used w pap |
2,653 |
2,454 |
$18K |
| E0570 |
Nebulizer with compression |
3,896 |
3,528 |
$16K |
| A7038 |
Pos airway pressure filter |
6,327 |
5,828 |
$15K |
| A7035 |
Pos airway press headgear |
1,861 |
1,684 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,395 |
1,279 |
$7K |
| K0001 |
Standard wheelchair |
464 |
420 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
67 |
61 |
$2K |
| A7003 |
Nebulizer administration set |
1,784 |
1,564 |
$919.88 |
| A7005 |
Nondisposable nebulizer set |
219 |
202 |
$852.96 |
| A7033 |
Replacement nasal pillows |
52 |
49 |
$831.61 |
| E0443 |
Portable 02 contents, gas |
64 |
64 |
$119.02 |
| A7039 |
Filter, non disposable w pap |
13 |
13 |
$32.09 |
| A7014 |
Compressor nondispos filter |
13 |
12 |
$19.62 |