| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
25,585 |
24,198 |
$1.06M |
| E0431 |
Portable gaseous 02 |
12,681 |
11,928 |
$177K |
| E0466 |
Home vent non-invasive inter |
391 |
369 |
$136K |
| E0601 |
Cont airway pressure device |
2,405 |
2,294 |
$89K |
| A7030 |
Cpap full face mask |
1,214 |
1,162 |
$42K |
| E0470 |
Rad w/o backup non-inv intfc |
437 |
428 |
$31K |
| E0570 |
Nebulizer with compression |
3,548 |
3,297 |
$28K |
| A7031 |
Replacement facemask interfa |
1,116 |
1,064 |
$28K |
| E0562 |
Humidifier heated used w pap |
971 |
912 |
$24K |
| A7035 |
Pos airway press headgear |
1,337 |
1,277 |
$16K |
| E1392 |
Portable oxygen concentrator |
1,729 |
1,655 |
$14K |
| A7037 |
Pos airway pressure tubing |
1,711 |
1,613 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
534 |
482 |
$12K |
| A7038 |
Pos airway pressure filter |
5,287 |
5,013 |
$12K |
| K0001 |
Standard wheelchair |
893 |
813 |
$10K |
| A7034 |
Nasal application device |
213 |
206 |
$4K |
| A7003 |
Nebulizer administration set |
1,263 |
1,141 |
$1K |
| A4604 |
Tubing with heating element |
56 |
51 |
$923.07 |
| A7032 |
Replacement nasal cushion |
15 |
12 |
$423.04 |
| A7046 |
Repl water chamber, pap dev |
117 |
107 |
$253.35 |
| E0443 |
Portable 02 contents, gas |
74 |
74 |
$247.10 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$120.21 |
| A7039 |
Filter, non disposable w pap |
17 |
12 |
$50.98 |