| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,864 |
2,467 |
$1.10M |
| E1390 |
Oxygen concentrator |
24,977 |
22,095 |
$1.08M |
| E0601 |
Cont airway pressure device |
9,724 |
8,804 |
$391K |
| A7030 |
Cpap full face mask |
3,583 |
3,191 |
$199K |
| E0470 |
Rad w/o backup non-inv intfc |
1,587 |
1,436 |
$172K |
| E0562 |
Humidifier heated used w pap |
1,675 |
1,497 |
$164K |
| E0431 |
Portable gaseous 02 |
19,196 |
16,574 |
$112K |
| A7034 |
Nasal application device |
1,463 |
1,220 |
$44K |
| A7037 |
Pos airway pressure tubing |
3,749 |
3,301 |
$41K |
| A7031 |
Replacement facemask interfa |
2,363 |
1,871 |
$39K |
| A7035 |
Pos airway press headgear |
3,295 |
2,840 |
$36K |
| E0570 |
Nebulizer with compression |
6,733 |
5,950 |
$32K |
| A7038 |
Pos airway pressure filter |
6,183 |
4,983 |
$19K |
| A7032 |
Replacement nasal cushion |
769 |
587 |
$15K |
| K0001 |
Standard wheelchair |
1,335 |
1,024 |
$13K |
| A7046 |
Repl water chamber, pap dev |
1,849 |
1,629 |
$12K |
| E0143 |
Walker folding wheeled w/o s |
258 |
236 |
$6K |
| E1392 |
Portable oxygen concentrator |
808 |
744 |
$4K |
| A4604 |
Tubing with heating element |
973 |
732 |
$4K |
| K0003 |
Lightweight wheelchair |
220 |
198 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
275 |
215 |
$3K |
| A7039 |
Filter, non disposable w pap |
952 |
784 |
$3K |
| E0443 |
Portable 02 contents, gas |
242 |
165 |
$2K |
| A7003 |
Nebulizer administration set |
362 |
327 |
$347.77 |
| A7036 |
Pos airway press chinstrap |
13 |
12 |
$79.53 |
| A9279 |
Monitoring feature/devicenoc |
512 |
458 |
$40.00 |