| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,238 |
1,945 |
$974K |
| E1390 |
Oxygen concentrator |
4,956 |
4,557 |
$326K |
| E0601 |
Cont airway pressure device |
3,670 |
2,827 |
$100K |
| E0431 |
Portable gaseous 02 |
3,844 |
3,546 |
$56K |
| E0570 |
Nebulizer with compression |
2,079 |
1,561 |
$38K |
| K0001 |
Standard wheelchair |
1,692 |
1,387 |
$34K |
| A7037 |
Pos airway pressure tubing |
1,178 |
861 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
315 |
258 |
$12K |
| B4152 |
Ef calorie dense>/=1.5kcal |
57 |
49 |
$11K |
| A7031 |
Replacement facemask interfa |
509 |
411 |
$10K |
| B4034 |
Enter feed supkit syr by day |
70 |
60 |
$7K |
| A7035 |
Pos airway press headgear |
676 |
501 |
$6K |
| E0619 |
Apnea monitor w recorder |
26 |
25 |
$5K |
| E0562 |
Humidifier heated used w pap |
32 |
26 |
$4K |
| A7030 |
Cpap full face mask |
69 |
53 |
$3K |
| K0195 |
Elevating whlchair leg rests |
417 |
338 |
$3K |
| A7038 |
Pos airway pressure filter |
928 |
751 |
$2K |
| A7034 |
Nasal application device |
52 |
38 |
$893.12 |
| A7003 |
Nebulizer administration set |
220 |
204 |
$680.84 |
| A7039 |
Filter, non disposable w pap |
162 |
111 |
$472.16 |
| A7015 |
Aerosol mask used w nebulize |
178 |
160 |
$186.61 |
| A7002 |
Tubing used w suction pump |
52 |
36 |
$136.29 |
| A7000 |
Disposable canister for pump |
17 |
12 |
$108.98 |
| A7033 |
Replacement nasal pillows |
16 |
12 |
$72.80 |