| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
123,024 |
107,543 |
$5.92M |
| E0466 |
Home vent non-invasive inter |
6,311 |
5,464 |
$2.55M |
| K0738 |
Portable gas oxygen system |
40,998 |
36,900 |
$955K |
| E0431 |
Portable gaseous 02 |
39,816 |
36,679 |
$538K |
| E0424 |
Stationary compressed gas 02 |
7,638 |
7,281 |
$524K |
| E0601 |
Cont airway pressure device |
7,875 |
6,588 |
$214K |
| E0562 |
Humidifier heated used w pap |
2,453 |
1,472 |
$212K |
| A7030 |
Cpap full face mask |
5,260 |
3,181 |
$152K |
| A7034 |
Nasal application device |
5,054 |
2,901 |
$85K |
| E0439 |
Stationary liquid 02 |
1,839 |
1,524 |
$66K |
| E0434 |
Portable liquid 02 |
4,993 |
4,326 |
$66K |
| A7031 |
Replacement facemask interfa |
4,055 |
2,520 |
$58K |
| A7037 |
Pos airway pressure tubing |
6,487 |
4,364 |
$56K |
| E1392 |
Portable oxygen concentrator |
4,891 |
4,427 |
$52K |
| E0600 |
Suction pump portab hom modl |
1,145 |
1,080 |
$47K |
| A7035 |
Pos airway press headgear |
7,256 |
4,303 |
$43K |
| A4604 |
Tubing with heating element |
3,058 |
1,709 |
$36K |
| A7032 |
Replacement nasal cushion |
2,818 |
1,403 |
$31K |
| E0441 |
Stationary o2 contents, gas |
953 |
654 |
$29K |
| E0570 |
Nebulizer with compression |
2,462 |
1,840 |
$28K |
| A7046 |
Repl water chamber, pap dev |
5,317 |
3,165 |
$23K |
| K0001 |
Standard wheelchair |
2,967 |
2,297 |
$23K |
| E0470 |
Rad w/o backup non-inv intfc |
509 |
397 |
$21K |
| A7038 |
Pos airway pressure filter |
10,374 |
5,937 |
$17K |
| A7033 |
Replacement nasal pillows |
1,266 |
691 |
$13K |
| E0143 |
Walker folding wheeled w/o s |
908 |
439 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
593 |
443 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
39 |
38 |
$6K |
| A7005 |
Nondisposable nebulizer set |
461 |
295 |
$4K |
| E0442 |
Stationary o2 contents, liq |
134 |
62 |
$2K |
| B4035 |
Enteral feed supp pump per d |
20 |
13 |
$856.27 |
| E0156 |
Walker seat attachment |
17 |
13 |
$101.44 |
| A7003 |
Nebulizer administration set |
197 |
127 |
$55.23 |
| A7036 |
Pos airway press chinstrap |
32 |
24 |
$47.77 |
| A7039 |
Filter, non disposable w pap |
47 |
38 |
$46.34 |
| A7013 |
Disposable compressor filter |
103 |
72 |
$33.82 |