| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
30,571 |
27,424 |
$621K |
| E0431 |
Portable gaseous 02 |
14,340 |
12,822 |
$69K |
| A7031 |
Replacement facemask interfa |
1,733 |
1,651 |
$29K |
| E0466 |
Home vent non-invasive inter |
309 |
271 |
$27K |
| A7030 |
Cpap full face mask |
1,005 |
956 |
$27K |
| E0570 |
Nebulizer with compression |
5,154 |
4,621 |
$13K |
| E0601 |
Cont airway pressure device |
871 |
808 |
$12K |
| E1392 |
Portable oxygen concentrator |
1,372 |
1,294 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
453 |
401 |
$7K |
| A7038 |
Pos airway pressure filter |
2,828 |
2,679 |
$5K |
| A7037 |
Pos airway pressure tubing |
1,327 |
1,251 |
$5K |
| E0562 |
Humidifier heated used w pap |
946 |
881 |
$5K |
| K0001 |
Standard wheelchair |
633 |
538 |
$4K |
| A7035 |
Pos airway press headgear |
611 |
577 |
$3K |
| A7003 |
Nebulizer administration set |
2,750 |
2,458 |
$1K |
| A7046 |
Repl water chamber, pap dev |
237 |
230 |
$1K |
| E0443 |
Portable 02 contents, gas |
241 |
228 |
$761.32 |
| Q0513 |
Disp fee inhal drugs/30 days |
67 |
62 |
$488.40 |
| A7034 |
Nasal application device |
17 |
13 |
$337.13 |
| A7005 |
Nondisposable nebulizer set |
80 |
79 |
$111.97 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$3.00 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$2.99 |