| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
36,339 |
28,448 |
$1.38M |
| E0431 |
Portable gaseous 02 |
20,504 |
16,047 |
$161K |
| E0601 |
Cont airway pressure device |
4,012 |
3,065 |
$143K |
| A7030 |
Cpap full face mask |
3,733 |
2,724 |
$141K |
| E0466 |
Home vent non-invasive inter |
681 |
442 |
$122K |
| A7034 |
Nasal application device |
3,837 |
2,879 |
$98K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
707 |
678 |
$93K |
| A7031 |
Replacement facemask interfa |
4,595 |
3,585 |
$92K |
| E1392 |
Portable oxygen concentrator |
6,253 |
4,692 |
$64K |
| A4604 |
Tubing with heating element |
3,681 |
2,761 |
$61K |
| E0562 |
Humidifier heated used w pap |
2,777 |
2,002 |
$61K |
| A7038 |
Pos airway pressure filter |
13,939 |
11,885 |
$59K |
| A7035 |
Pos airway press headgear |
5,193 |
4,062 |
$58K |
| A7032 |
Replacement nasal cushion |
2,798 |
2,138 |
$53K |
| B4161 |
Ef ped hydrolyzed/amino acid |
69 |
63 |
$36K |
| E0570 |
Nebulizer with compression |
7,221 |
4,833 |
$33K |
| A7037 |
Pos airway pressure tubing |
4,049 |
2,997 |
$32K |
| A7046 |
Repl water chamber, pap dev |
4,282 |
3,334 |
$26K |
| A7033 |
Replacement nasal pillows |
1,555 |
1,270 |
$23K |
| E0471 |
Rad w/backup non inv intrfc |
54 |
50 |
$21K |
| B4035 |
Enteral feed supp pump per d |
177 |
144 |
$19K |
| E0470 |
Rad w/o backup non-inv intfc |
252 |
182 |
$13K |
| A7005 |
Nondisposable nebulizer set |
1,293 |
947 |
$10K |
| E0443 |
Portable 02 contents, gas |
1,876 |
1,064 |
$10K |
| J7613 |
Albuterol non-comp unit |
789 |
697 |
$9K |
| A7039 |
Filter, non disposable w pap |
1,443 |
1,181 |
$8K |
| J7620 |
Albuterol ipratrop non-comp |
247 |
226 |
$4K |
| A7003 |
Nebulizer administration set |
2,785 |
1,948 |
$3K |
| K0001 |
Standard wheelchair |
17 |
13 |
$328.99 |
| A7013 |
Disposable compressor filter |
15 |
12 |
$6.11 |