| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,482 |
7,337 |
$512K |
| E0466 |
Home vent non-invasive inter |
982 |
974 |
$373K |
| E0601 |
Cont airway pressure device |
4,221 |
4,177 |
$341K |
| E0562 |
Humidifier heated used w pap |
788 |
773 |
$141K |
| E0470 |
Rad w/o backup non-inv intfc |
672 |
669 |
$92K |
| A7034 |
Nasal application device |
1,648 |
1,642 |
$84K |
| K0738 |
Portable gas oxygen system |
1,817 |
1,803 |
$49K |
| A7035 |
Pos airway press headgear |
2,573 |
2,560 |
$45K |
| A4604 |
Tubing with heating element |
1,281 |
1,272 |
$38K |
| A7032 |
Replacement nasal cushion |
1,245 |
1,236 |
$37K |
| K0001 |
Standard wheelchair |
1,037 |
984 |
$37K |
| E0431 |
Portable gaseous 02 |
1,971 |
1,918 |
$32K |
| E0471 |
Rad w/backup non inv intrfc |
130 |
128 |
$32K |
| A7030 |
Cpap full face mask |
406 |
401 |
$30K |
| E1392 |
Portable oxygen concentrator |
1,474 |
1,436 |
$29K |
| A7038 |
Pos airway pressure filter |
4,209 |
4,182 |
$25K |
| E0570 |
Nebulizer with compression |
896 |
885 |
$21K |
| A7037 |
Pos airway pressure tubing |
1,245 |
1,239 |
$20K |
| A7033 |
Replacement nasal pillows |
657 |
654 |
$19K |
| A7046 |
Repl water chamber, pap dev |
1,748 |
1,743 |
$18K |
| A7031 |
Replacement facemask interfa |
229 |
229 |
$8K |
| E0424 |
Stationary compressed gas 02 |
14 |
12 |
$2K |
| A7039 |
Filter, non disposable w pap |
229 |
229 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
91 |
89 |
$1K |
| E0630 |
Patient lift hydraulic |
13 |
12 |
$475.11 |
| A7036 |
Pos airway press chinstrap |
14 |
14 |
$135.49 |