| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
26,216 |
21,103 |
$642K |
| A7030 |
Cpap full face mask |
3,661 |
3,127 |
$122K |
| E0601 |
Cont airway pressure device |
5,142 |
4,461 |
$99K |
| A7031 |
Replacement facemask interfa |
5,364 |
4,574 |
$88K |
| E0431 |
Portable gaseous 02 |
15,083 |
12,326 |
$76K |
| A4604 |
Tubing with heating element |
4,793 |
4,091 |
$74K |
| A7034 |
Nasal application device |
1,859 |
1,568 |
$38K |
| E0562 |
Humidifier heated used w pap |
2,919 |
2,439 |
$37K |
| E1392 |
Portable oxygen concentrator |
4,264 |
3,652 |
$35K |
| A7032 |
Replacement nasal cushion |
1,745 |
1,482 |
$30K |
| E0570 |
Nebulizer with compression |
6,534 |
5,824 |
$28K |
| E0466 |
Home vent non-invasive inter |
98 |
96 |
$24K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,339 |
1,961 |
$24K |
| A7035 |
Pos airway press headgear |
3,155 |
2,685 |
$24K |
| A7038 |
Pos airway pressure filter |
9,156 |
7,726 |
$21K |
| A7033 |
Replacement nasal pillows |
1,187 |
1,003 |
$15K |
| K0001 |
Standard wheelchair |
2,370 |
1,993 |
$14K |
| K0002 |
Stnd hemi (low seat) whlchr |
984 |
770 |
$10K |
| A7046 |
Repl water chamber, pap dev |
2,083 |
1,785 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
544 |
481 |
$8K |
| A7005 |
Nondisposable nebulizer set |
1,108 |
953 |
$5K |
| A7037 |
Pos airway pressure tubing |
416 |
347 |
$2K |
| E0443 |
Portable 02 contents, gas |
331 |
308 |
$2K |
| K0195 |
Elevating whlchair leg rests |
496 |
424 |
$1K |
| A7039 |
Filter, non disposable w pap |
20 |
13 |
$35.30 |