| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
28,529 |
21,639 |
$1.50M |
| E0431 |
Portable gaseous 02 |
17,245 |
12,978 |
$159K |
| A7030 |
Cpap full face mask |
2,290 |
1,692 |
$110K |
| A7031 |
Replacement facemask interfa |
3,895 |
2,982 |
$102K |
| E0466 |
Home vent non-invasive inter |
440 |
351 |
$100K |
| A7032 |
Replacement nasal cushion |
2,075 |
1,804 |
$76K |
| E0601 |
Cont airway pressure device |
2,188 |
1,646 |
$74K |
| A4604 |
Tubing with heating element |
3,291 |
2,602 |
$73K |
| A7034 |
Nasal application device |
1,702 |
1,493 |
$67K |
| E1392 |
Portable oxygen concentrator |
3,269 |
2,556 |
$49K |
| E0470 |
Rad w/o backup non-inv intfc |
642 |
520 |
$44K |
| E0562 |
Humidifier heated used w pap |
3,345 |
2,425 |
$38K |
| A7038 |
Pos airway pressure filter |
7,962 |
6,103 |
$35K |
| A7033 |
Replacement nasal pillows |
1,183 |
714 |
$31K |
| E0570 |
Nebulizer with compression |
6,026 |
4,425 |
$30K |
| A7035 |
Pos airway press headgear |
2,230 |
1,920 |
$29K |
| A7046 |
Repl water chamber, pap dev |
2,022 |
1,534 |
$12K |
| A7037 |
Pos airway pressure tubing |
640 |
530 |
$6K |
| E0443 |
Portable 02 contents, gas |
776 |
551 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
286 |
229 |
$3K |
| A7003 |
Nebulizer administration set |
2,831 |
1,799 |
$3K |
| K0001 |
Standard wheelchair |
246 |
216 |
$2K |
| A7005 |
Nondisposable nebulizer set |
140 |
12 |
$256.56 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$55.61 |