| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
28,123 |
19,801 |
$1.11M |
| A7030 |
Cpap full face mask |
5,761 |
4,480 |
$371K |
| A7031 |
Replacement facemask interfa |
9,184 |
7,772 |
$307K |
| E0601 |
Cont airway pressure device |
6,590 |
5,395 |
$286K |
| A4604 |
Tubing with heating element |
7,819 |
6,197 |
$202K |
| A7034 |
Nasal application device |
4,692 |
3,790 |
$184K |
| E0466 |
Home vent non-invasive inter |
1,954 |
1,299 |
$153K |
| A7032 |
Replacement nasal cushion |
4,040 |
3,521 |
$141K |
| E0431 |
Portable gaseous 02 |
16,816 |
11,806 |
$110K |
| E0562 |
Humidifier heated used w pap |
6,521 |
5,443 |
$91K |
| A7033 |
Replacement nasal pillows |
3,278 |
2,833 |
$85K |
| A7038 |
Pos airway pressure filter |
17,288 |
14,804 |
$84K |
| A7035 |
Pos airway press headgear |
6,032 |
4,824 |
$83K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,536 |
2,105 |
$60K |
| E1392 |
Portable oxygen concentrator |
3,685 |
2,434 |
$36K |
| A7046 |
Repl water chamber, pap dev |
4,348 |
3,469 |
$32K |
| A7037 |
Pos airway pressure tubing |
2,564 |
1,995 |
$29K |
| E0570 |
Nebulizer with compression |
7,638 |
5,384 |
$25K |
| K0001 |
Standard wheelchair |
3,233 |
1,976 |
$23K |
| E0443 |
Portable 02 contents, gas |
1,620 |
912 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
14 |
12 |
$3K |
| A7003 |
Nebulizer administration set |
5,140 |
3,268 |
$3K |
| A7005 |
Nondisposable nebulizer set |
987 |
619 |
$2K |
| E0630 |
Patient lift hydraulic |
67 |
36 |
$2K |
| A7039 |
Filter, non disposable w pap |
227 |
168 |
$1K |
| E0181 |
Press pad alternating w/ pum |
154 |
86 |
$533.83 |
| A7015 |
Aerosol mask used w nebulize |
144 |
96 |
$24.18 |