| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
17,860 |
15,761 |
$670K |
| E0466 |
Home vent non-invasive inter |
2,389 |
2,133 |
$662K |
| E0431 |
Portable gaseous 02 |
4,269 |
3,735 |
$42K |
| E0601 |
Cont airway pressure device |
1,339 |
1,096 |
$31K |
| E0570 |
Nebulizer with compression |
3,323 |
3,071 |
$30K |
| E0562 |
Humidifier heated used w pap |
1,468 |
1,216 |
$16K |
| E0483 |
Hi freq chest wall oscil sys |
39 |
37 |
$10K |
| A7032 |
Replacement nasal cushion |
316 |
266 |
$8K |
| A7031 |
Replacement facemask interfa |
315 |
245 |
$7K |
| A7037 |
Pos airway pressure tubing |
677 |
600 |
$5K |
| A7038 |
Pos airway pressure filter |
2,073 |
1,549 |
$5K |
| A7034 |
Nasal application device |
205 |
171 |
$5K |
| A7030 |
Cpap full face mask |
109 |
90 |
$4K |
| A7003 |
Nebulizer administration set |
2,957 |
2,610 |
$3K |
| E1392 |
Portable oxygen concentrator |
412 |
380 |
$3K |
| A7035 |
Pos airway press headgear |
217 |
197 |
$1K |
| K0001 |
Standard wheelchair |
72 |
67 |
$648.26 |
| E0143 |
Walker folding wheeled w/o s |
13 |
12 |
$295.53 |
| A7046 |
Repl water chamber, pap dev |
69 |
63 |
$283.73 |
| A7005 |
Nondisposable nebulizer set |
76 |
65 |
$270.47 |
| A7015 |
Aerosol mask used w nebulize |
46 |
33 |
$28.03 |