| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
49,238 |
36,719 |
$1.63M |
| E0431 |
Portable gaseous 02 |
20,486 |
15,179 |
$145K |
| E0466 |
Home vent non-invasive inter |
412 |
309 |
$130K |
| E0570 |
Nebulizer with compression |
11,948 |
8,293 |
$123K |
| E1392 |
Portable oxygen concentrator |
8,258 |
6,062 |
$73K |
| E0619 |
Apnea monitor w recorder |
283 |
225 |
$36K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,636 |
1,122 |
$27K |
| E0445 |
Oximeter non-invasive |
147 |
131 |
$16K |
| A7003 |
Nebulizer administration set |
6,226 |
5,068 |
$7K |
| E0600 |
Suction pump portab hom modl |
272 |
206 |
$7K |
| A7005 |
Nondisposable nebulizer set |
443 |
382 |
$2K |
| A7013 |
Disposable compressor filter |
2,648 |
1,721 |
$1K |
| E0443 |
Portable 02 contents, gas |
443 |
337 |
$541.68 |
| A7015 |
Aerosol mask used w nebulize |
557 |
458 |
$336.98 |
| A7000 |
Disposable canister for pump |
22 |
13 |
$191.82 |
| A7002 |
Tubing used w suction pump |
18 |
12 |
$80.26 |
| K0195 |
Elevating whlchair leg rests |
17 |
12 |
$0.00 |
| K0001 |
Standard wheelchair |
1,612 |
1,379 |
$0.00 |