| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,748 |
11,777 |
$416K |
| E0431 |
Portable gaseous 02 |
6,478 |
6,026 |
$50K |
| E0466 |
Home vent non-invasive inter |
162 |
145 |
$24K |
| E0601 |
Cont airway pressure device |
1,335 |
1,177 |
$10K |
| E0570 |
Nebulizer with compression |
1,731 |
1,596 |
$6K |
| E0562 |
Humidifier heated used w pap |
1,486 |
1,330 |
$5K |
| A7031 |
Replacement facemask interfa |
846 |
730 |
$4K |
| A7030 |
Cpap full face mask |
451 |
397 |
$3K |
| K0001 |
Standard wheelchair |
463 |
415 |
$3K |
| A7038 |
Pos airway pressure filter |
2,590 |
2,240 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
161 |
140 |
$2K |
| A7037 |
Pos airway pressure tubing |
993 |
881 |
$2K |
| A7032 |
Replacement nasal cushion |
198 |
159 |
$1K |
| A7035 |
Pos airway press headgear |
451 |
387 |
$995.22 |
| Q0513 |
Disp fee inhal drugs/30 days |
200 |
181 |
$926.99 |
| A7034 |
Nasal application device |
189 |
158 |
$531.40 |
| A7046 |
Repl water chamber, pap dev |
152 |
135 |
$188.65 |
| A4604 |
Tubing with heating element |
32 |
26 |
$72.21 |
| A7003 |
Nebulizer administration set |
219 |
204 |
$23.91 |