| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
4,480 |
4,239 |
$973K |
| E1390 |
Oxygen concentrator |
24,565 |
21,886 |
$811K |
| E0431 |
Portable gaseous 02 |
9,803 |
8,663 |
$114K |
| A7030 |
Cpap full face mask |
2,282 |
2,042 |
$113K |
| A7031 |
Replacement facemask interfa |
2,823 |
2,485 |
$60K |
| E0601 |
Cont airway pressure device |
2,244 |
1,846 |
$29K |
| E0562 |
Humidifier heated used w pap |
2,556 |
2,130 |
$20K |
| A7037 |
Pos airway pressure tubing |
3,220 |
2,889 |
$18K |
| E0570 |
Nebulizer with compression |
3,983 |
3,465 |
$14K |
| A7035 |
Pos airway press headgear |
1,750 |
1,554 |
$11K |
| E1392 |
Portable oxygen concentrator |
1,314 |
1,160 |
$10K |
| A7032 |
Replacement nasal cushion |
381 |
275 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,227 |
1,098 |
$9K |
| A7038 |
Pos airway pressure filter |
5,435 |
3,694 |
$8K |
| E0443 |
Portable 02 contents, gas |
558 |
503 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
116 |
87 |
$4K |
| A7003 |
Nebulizer administration set |
3,820 |
3,387 |
$4K |
| A7034 |
Nasal application device |
193 |
173 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
144 |
134 |
$3K |
| A7005 |
Nondisposable nebulizer set |
427 |
397 |
$2K |
| K0001 |
Standard wheelchair |
162 |
151 |
$712.24 |
| A7039 |
Filter, non disposable w pap |
263 |
237 |
$305.25 |