| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,855 |
11,360 |
$756K |
| E0601 |
Cont airway pressure device |
13,772 |
11,994 |
$520K |
| E0466 |
Home vent non-invasive inter |
1,146 |
916 |
$364K |
| E0470 |
Rad w/o backup non-inv intfc |
2,057 |
1,812 |
$177K |
| E0431 |
Portable gaseous 02 |
6,542 |
5,440 |
$54K |
| E0562 |
Humidifier heated used w pap |
8,422 |
7,768 |
$40K |
| E0570 |
Nebulizer with compression |
4,553 |
3,639 |
$37K |
| E1392 |
Portable oxygen concentrator |
3,354 |
2,777 |
$19K |
| A7031 |
Replacement facemask interfa |
4,309 |
3,399 |
$5K |
| A7030 |
Cpap full face mask |
3,379 |
2,654 |
$5K |
| K0001 |
Standard wheelchair |
323 |
268 |
$4K |
| A7005 |
Nondisposable nebulizer set |
339 |
295 |
$4K |
| A7038 |
Pos airway pressure filter |
7,561 |
5,841 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
159 |
126 |
$4K |
| A4604 |
Tubing with heating element |
4,978 |
3,778 |
$3K |
| A7033 |
Replacement nasal pillows |
1,097 |
867 |
$3K |
| A7035 |
Pos airway press headgear |
3,203 |
2,436 |
$3K |
| A7034 |
Nasal application device |
2,426 |
1,797 |
$2K |
| E0600 |
Suction pump portab hom modl |
304 |
231 |
$2K |
| A7032 |
Replacement nasal cushion |
1,160 |
888 |
$2K |
| E0565 |
Compressor air power source |
138 |
103 |
$1K |
| A7046 |
Repl water chamber, pap dev |
1,828 |
1,413 |
$657.50 |
| A7037 |
Pos airway pressure tubing |
236 |
190 |
$187.13 |
| A7039 |
Filter, non disposable w pap |
473 |
362 |
$172.69 |
| K0738 |
Portable gas oxygen system |
84 |
75 |
$0.00 |