| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
126,724 |
110,591 |
$6.14M |
| E0466 |
Home vent non-invasive inter |
7,052 |
6,101 |
$3.50M |
| K0738 |
Portable gas oxygen system |
40,898 |
37,077 |
$952K |
| E0424 |
Stationary compressed gas 02 |
9,541 |
8,658 |
$637K |
| E0431 |
Portable gaseous 02 |
45,673 |
41,682 |
$612K |
| E0562 |
Humidifier heated used w pap |
3,616 |
2,105 |
$319K |
| E0601 |
Cont airway pressure device |
10,568 |
8,917 |
$304K |
| A7030 |
Cpap full face mask |
5,670 |
3,171 |
$174K |
| A7034 |
Nasal application device |
6,377 |
3,323 |
$109K |
| E0434 |
Portable liquid 02 |
4,201 |
3,551 |
$76K |
| A4604 |
Tubing with heating element |
5,679 |
3,022 |
$71K |
| A7031 |
Replacement facemask interfa |
4,488 |
2,539 |
$68K |
| E0600 |
Suction pump portab hom modl |
1,447 |
1,331 |
$57K |
| E0471 |
Rad w/backup non inv intrfc |
565 |
402 |
$55K |
| A7035 |
Pos airway press headgear |
8,474 |
4,617 |
$53K |
| E1392 |
Portable oxygen concentrator |
5,069 |
4,507 |
$51K |
| E0439 |
Stationary liquid 02 |
1,410 |
1,173 |
$50K |
| A7037 |
Pos airway pressure tubing |
5,933 |
3,686 |
$48K |
| A7032 |
Replacement nasal cushion |
4,126 |
1,977 |
$45K |
| E0570 |
Nebulizer with compression |
2,487 |
2,008 |
$32K |
| E0470 |
Rad w/o backup non-inv intfc |
894 |
642 |
$31K |
| A7046 |
Repl water chamber, pap dev |
5,982 |
3,366 |
$27K |
| K0001 |
Standard wheelchair |
3,242 |
2,394 |
$22K |
| A7038 |
Pos airway pressure filter |
12,361 |
6,555 |
$21K |
| E0441 |
Stationary o2 contents, gas |
783 |
492 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,083 |
836 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
947 |
434 |
$13K |
| A7033 |
Replacement nasal pillows |
1,032 |
481 |
$9K |
| A7005 |
Nondisposable nebulizer set |
502 |
393 |
$5K |
| E0442 |
Stationary o2 contents, liq |
91 |
38 |
$2K |
| A7036 |
Pos airway press chinstrap |
54 |
39 |
$183.96 |
| A7039 |
Filter, non disposable w pap |
61 |
15 |
$37.66 |
| A7013 |
Disposable compressor filter |
89 |
71 |
$32.33 |
| A7003 |
Nebulizer administration set |
95 |
73 |
$0.68 |