| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,818 |
13,124 |
$851K |
| E0466 |
Home vent non-invasive inter |
1,236 |
1,074 |
$349K |
| E0431 |
Portable gaseous 02 |
7,450 |
6,737 |
$100K |
| A4604 |
Tubing with heating element |
2,316 |
2,088 |
$95K |
| E0601 |
Cont airway pressure device |
1,942 |
1,768 |
$81K |
| A7030 |
Cpap full face mask |
987 |
887 |
$67K |
| A7038 |
Pos airway pressure filter |
5,018 |
4,544 |
$41K |
| E0562 |
Humidifier heated used w pap |
1,041 |
949 |
$39K |
| A7031 |
Replacement facemask interfa |
1,082 |
976 |
$33K |
| A7032 |
Replacement nasal cushion |
615 |
551 |
$32K |
| A7035 |
Pos airway press headgear |
1,424 |
1,292 |
$27K |
| A7034 |
Nasal application device |
481 |
438 |
$25K |
| A7037 |
Pos airway pressure tubing |
1,024 |
905 |
$17K |
| E0570 |
Nebulizer with compression |
1,157 |
1,053 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
112 |
100 |
$6K |
| E1392 |
Portable oxygen concentrator |
255 |
200 |
$1K |
| A7046 |
Repl water chamber, pap dev |
181 |
164 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
32 |
25 |
$816.91 |
| K0001 |
Standard wheelchair |
13 |
12 |
$373.72 |
| A7003 |
Nebulizer administration set |
142 |
128 |
$174.85 |