| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
49,395 |
43,369 |
$1.22M |
| E0431 |
Portable gaseous 02 |
24,716 |
21,594 |
$153K |
| E0466 |
Home vent non-invasive inter |
830 |
732 |
$77K |
| A7030 |
Cpap full face mask |
1,766 |
1,583 |
$60K |
| A7031 |
Replacement facemask interfa |
2,905 |
2,664 |
$58K |
| A4604 |
Tubing with heating element |
2,927 |
2,577 |
$44K |
| E1392 |
Portable oxygen concentrator |
3,316 |
3,048 |
$30K |
| E0601 |
Cont airway pressure device |
1,674 |
1,455 |
$26K |
| A7034 |
Nasal application device |
1,495 |
1,332 |
$22K |
| A7032 |
Replacement nasal cushion |
1,369 |
1,260 |
$22K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,568 |
1,295 |
$20K |
| K0001 |
Standard wheelchair |
2,148 |
1,893 |
$17K |
| E0570 |
Nebulizer with compression |
5,889 |
5,169 |
$15K |
| A7035 |
Pos airway press headgear |
2,060 |
1,831 |
$13K |
| A7038 |
Pos airway pressure filter |
6,128 |
5,525 |
$13K |
| E0562 |
Humidifier heated used w pap |
2,300 |
1,991 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
637 |
560 |
$10K |
| A7033 |
Replacement nasal pillows |
458 |
399 |
$7K |
| A7046 |
Repl water chamber, pap dev |
1,517 |
1,374 |
$7K |
| E0443 |
Portable 02 contents, gas |
331 |
296 |
$2K |
| A7003 |
Nebulizer administration set |
2,050 |
1,830 |
$1K |
| A7037 |
Pos airway pressure tubing |
362 |
330 |
$1K |
| K0003 |
Lightweight wheelchair |
13 |
12 |
$118.66 |
| A7039 |
Filter, non disposable w pap |
75 |
73 |
$85.82 |
| Q0513 |
Disp fee inhal drugs/30 days |
21 |
16 |
$75.24 |