| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,170 |
1,134 |
$501K |
| E1390 |
Oxygen concentrator |
6,997 |
6,771 |
$482K |
| E0601 |
Cont airway pressure device |
3,037 |
3,012 |
$172K |
| E0470 |
Rad w/o backup non-inv intfc |
518 |
517 |
$69K |
| A7034 |
Nasal application device |
1,427 |
1,371 |
$58K |
| A7030 |
Cpap full face mask |
1,105 |
1,100 |
$53K |
| E0562 |
Humidifier heated used w pap |
301 |
301 |
$39K |
| A7035 |
Pos airway press headgear |
2,389 |
2,348 |
$38K |
| A7032 |
Replacement nasal cushion |
1,170 |
1,147 |
$33K |
| E0431 |
Portable gaseous 02 |
2,616 |
2,432 |
$32K |
| A7037 |
Pos airway pressure tubing |
1,940 |
1,917 |
$25K |
| A7038 |
Pos airway pressure filter |
3,798 |
3,729 |
$21K |
| A7031 |
Replacement facemask interfa |
848 |
843 |
$20K |
| A4604 |
Tubing with heating element |
741 |
733 |
$18K |
| A7046 |
Repl water chamber, pap dev |
1,502 |
1,474 |
$13K |
| E1392 |
Portable oxygen concentrator |
670 |
657 |
$12K |
| K0001 |
Standard wheelchair |
247 |
246 |
$10K |
| E0570 |
Nebulizer with compression |
697 |
695 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
26 |
26 |
$3K |
| K0738 |
Portable gas oxygen system |
104 |
100 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
60 |
59 |
$2K |
| A7033 |
Replacement nasal pillows |
50 |
50 |
$1K |
| A7039 |
Filter, non disposable w pap |
16 |
14 |
$68.42 |