| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,838 |
15,354 |
$763K |
| E0466 |
Home vent non-invasive inter |
724 |
502 |
$212K |
| E0430 |
Oxygen system gas portable |
1,853 |
1,179 |
$64K |
| E0601 |
Cont airway pressure device |
3,936 |
2,686 |
$64K |
| E0431 |
Portable gaseous 02 |
6,123 |
5,084 |
$40K |
| A7030 |
Cpap full face mask |
705 |
550 |
$17K |
| E0562 |
Humidifier heated used w pap |
1,063 |
838 |
$12K |
| E0570 |
Nebulizer with compression |
1,869 |
1,501 |
$8K |
| A7034 |
Nasal application device |
494 |
384 |
$4K |
| A7032 |
Replacement nasal cushion |
173 |
138 |
$3K |
| A7031 |
Replacement facemask interfa |
763 |
598 |
$2K |
| A7046 |
Repl water chamber, pap dev |
285 |
234 |
$2K |
| A7037 |
Pos airway pressure tubing |
1,597 |
1,306 |
$1K |
| A7035 |
Pos airway press headgear |
832 |
643 |
$1K |
| E1392 |
Portable oxygen concentrator |
155 |
123 |
$1K |
| K0001 |
Standard wheelchair |
335 |
279 |
$1K |
| A7038 |
Pos airway pressure filter |
2,248 |
1,850 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
26 |
24 |
$810.21 |
| A7033 |
Replacement nasal pillows |
26 |
24 |
$399.13 |
| A4604 |
Tubing with heating element |
19 |
12 |
$304.86 |
| A7003 |
Nebulizer administration set |
103 |
91 |
$52.44 |
| A7039 |
Filter, non disposable w pap |
67 |
54 |
$6.30 |