| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,319 |
875 |
$286K |
| E1390 |
Oxygen concentrator |
13,302 |
8,770 |
$221K |
| E0601 |
Cont airway pressure device |
4,702 |
4,204 |
$101K |
| E0562 |
Humidifier heated used w pap |
1,090 |
828 |
$62K |
| A7030 |
Cpap full face mask |
831 |
625 |
$42K |
| E0431 |
Portable gaseous 02 |
5,746 |
4,267 |
$27K |
| A7034 |
Nasal application device |
876 |
627 |
$26K |
| K0738 |
Portable gas oxygen system |
3,123 |
2,011 |
$21K |
| A4604 |
Tubing with heating element |
699 |
556 |
$17K |
| A7035 |
Pos airway press headgear |
1,585 |
1,192 |
$16K |
| E0570 |
Nebulizer with compression |
1,267 |
1,147 |
$14K |
| E1392 |
Portable oxygen concentrator |
2,019 |
1,550 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
583 |
267 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,283 |
934 |
$10K |
| A7031 |
Replacement facemask interfa |
370 |
262 |
$6K |
| A7038 |
Pos airway pressure filter |
2,179 |
1,564 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
250 |
172 |
$5K |
| K0001 |
Standard wheelchair |
395 |
365 |
$5K |
| A7032 |
Replacement nasal cushion |
231 |
172 |
$4K |
| A7036 |
Pos airway press chinstrap |
465 |
355 |
$3K |
| A7046 |
Repl water chamber, pap dev |
392 |
293 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
53 |
37 |
$411.17 |
| A7013 |
Disposable compressor filter |
42 |
37 |
$12.30 |