| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
43,231 |
41,797 |
$1.72M |
| E0466 |
Home vent non-invasive inter |
6,895 |
6,652 |
$1.56M |
| K0738 |
Portable gas oxygen system |
15,147 |
14,589 |
$200K |
| E0431 |
Portable gaseous 02 |
15,440 |
15,073 |
$136K |
| E0601 |
Cont airway pressure device |
4,342 |
4,021 |
$104K |
| E0570 |
Nebulizer with compression |
8,287 |
8,044 |
$71K |
| E1392 |
Portable oxygen concentrator |
6,099 |
5,888 |
$69K |
| A7030 |
Cpap full face mask |
1,234 |
1,160 |
$64K |
| E2402 |
Neg press wound therapy pump |
71 |
66 |
$40K |
| E0562 |
Humidifier heated used w pap |
615 |
587 |
$34K |
| A7034 |
Nasal application device |
954 |
915 |
$27K |
| A7035 |
Pos airway press headgear |
1,963 |
1,852 |
$20K |
| A7005 |
Nondisposable nebulizer set |
1,512 |
1,454 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,842 |
1,745 |
$15K |
| A7031 |
Replacement facemask interfa |
776 |
716 |
$14K |
| E0424 |
Stationary compressed gas 02 |
148 |
145 |
$14K |
| E0470 |
Rad w/o backup non-inv intfc |
286 |
263 |
$12K |
| A4604 |
Tubing with heating element |
398 |
389 |
$9K |
| A7000 |
Disposable canister for pump |
887 |
694 |
$8K |
| A7038 |
Pos airway pressure filter |
2,528 |
2,382 |
$7K |
| A7046 |
Repl water chamber, pap dev |
880 |
835 |
$5K |
| A6550 |
Neg pres wound ther drsg set |
56 |
39 |
$5K |
| A4624 |
Tracheal suction tube |
56 |
51 |
$4K |
| A7032 |
Replacement nasal cushion |
136 |
128 |
$4K |
| E0600 |
Suction pump portab hom modl |
113 |
110 |
$2K |
| A7003 |
Nebulizer administration set |
1,289 |
1,214 |
$1K |
| A7013 |
Disposable compressor filter |
1,175 |
1,136 |
$365.90 |
| A4217 |
Sterile water/saline, 500 ml |
12 |
12 |
$257.92 |
| A6402 |
Sterile gauze <= 16 sq in |
14 |
13 |
$132.00 |
| A7039 |
Filter, non disposable w pap |
28 |
28 |
$111.90 |
| A7015 |
Aerosol mask used w nebulize |
51 |
49 |
$34.34 |