| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
27,636 |
24,530 |
$1.43M |
| E0466 |
Home vent non-invasive inter |
1,359 |
1,147 |
$415K |
| E0431 |
Portable gaseous 02 |
10,178 |
9,135 |
$103K |
| E0601 |
Cont airway pressure device |
2,341 |
2,124 |
$77K |
| A4604 |
Tubing with heating element |
2,116 |
1,926 |
$70K |
| A7030 |
Cpap full face mask |
1,419 |
1,286 |
$69K |
| A7034 |
Nasal application device |
1,389 |
1,246 |
$51K |
| A7038 |
Pos airway pressure filter |
5,717 |
5,163 |
$46K |
| A7031 |
Replacement facemask interfa |
1,632 |
1,478 |
$45K |
| A7032 |
Replacement nasal cushion |
948 |
837 |
$43K |
| A7037 |
Pos airway pressure tubing |
2,497 |
2,214 |
$41K |
| E0562 |
Humidifier heated used w pap |
1,801 |
1,615 |
$35K |
| A7035 |
Pos airway press headgear |
1,964 |
1,778 |
$32K |
| E0570 |
Nebulizer with compression |
2,943 |
2,568 |
$24K |
| E1392 |
Portable oxygen concentrator |
1,852 |
1,574 |
$13K |
| A7033 |
Replacement nasal pillows |
355 |
313 |
$10K |
| A7046 |
Repl water chamber, pap dev |
986 |
897 |
$7K |
| A7003 |
Nebulizer administration set |
1,776 |
1,570 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
12 |
12 |
$865.64 |
| E0470 |
Rad w/o backup non-inv intfc |
14 |
12 |
$543.92 |
| A7013 |
Disposable compressor filter |
20 |
18 |
$11.51 |