| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,203 |
16,509 |
$854K |
| E0431 |
Portable gaseous 02 |
9,949 |
9,001 |
$370K |
| E0601 |
Cont airway pressure device |
3,566 |
3,298 |
$76K |
| E0562 |
Humidifier heated used w pap |
2,979 |
2,740 |
$75K |
| E0445 |
Oximeter non-invasive |
507 |
401 |
$75K |
| E0443 |
Portable 02 contents, gas |
3,286 |
2,687 |
$64K |
| A7030 |
Cpap full face mask |
1,286 |
1,196 |
$62K |
| E0600 |
Suction pump portab hom modl |
642 |
612 |
$18K |
| K0738 |
Portable gas oxygen system |
1,782 |
1,537 |
$15K |
| E0570 |
Nebulizer with compression |
106 |
105 |
$7K |
| A7037 |
Pos airway pressure tubing |
1,187 |
1,106 |
$6K |
| A7031 |
Replacement facemask interfa |
1,233 |
1,121 |
$4K |
| A7035 |
Pos airway press headgear |
1,380 |
1,272 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
86 |
82 |
$3K |
| A7038 |
Pos airway pressure filter |
1,930 |
1,703 |
$2K |
| E0603 |
Electric breast pump |
13 |
13 |
$2K |
| A7034 |
Nasal application device |
57 |
49 |
$2K |
| A7046 |
Repl water chamber, pap dev |
440 |
401 |
$1K |
| K0001 |
Standard wheelchair |
15 |
12 |
$186.97 |
| A4604 |
Tubing with heating element |
62 |
56 |
$60.00 |