| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
31,375 |
29,555 |
$1.15M |
| E0466 |
Home vent non-invasive inter |
1,313 |
1,248 |
$416K |
| A7030 |
Cpap full face mask |
3,542 |
3,347 |
$247K |
| E0431 |
Portable gaseous 02 |
15,830 |
14,905 |
$144K |
| A7031 |
Replacement facemask interfa |
4,118 |
3,846 |
$124K |
| E0601 |
Cont airway pressure device |
3,325 |
3,170 |
$107K |
| A7034 |
Nasal application device |
2,243 |
2,122 |
$87K |
| A7037 |
Pos airway pressure tubing |
5,046 |
4,830 |
$86K |
| E0570 |
Nebulizer with compression |
6,547 |
6,226 |
$83K |
| A7032 |
Replacement nasal cushion |
1,864 |
1,767 |
$75K |
| E0562 |
Humidifier heated used w pap |
2,791 |
2,596 |
$68K |
| A4604 |
Tubing with heating element |
2,294 |
2,153 |
$63K |
| A7033 |
Replacement nasal pillows |
1,555 |
1,471 |
$45K |
| A7035 |
Pos airway press headgear |
3,345 |
3,151 |
$43K |
| A7038 |
Pos airway pressure filter |
9,707 |
9,142 |
$43K |
| A7005 |
Nondisposable nebulizer set |
2,224 |
2,016 |
$25K |
| A7046 |
Repl water chamber, pap dev |
2,690 |
2,542 |
$20K |
| E1392 |
Portable oxygen concentrator |
2,261 |
2,120 |
$19K |
| E0260 |
Hosp bed semi-electr w/ matt |
450 |
434 |
$12K |
| E0443 |
Portable 02 contents, gas |
397 |
386 |
$6K |
| K0001 |
Standard wheelchair |
586 |
576 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
72 |
72 |
$4K |
| A7003 |
Nebulizer administration set |
1,530 |
1,423 |
$2K |
| A7039 |
Filter, non disposable w pap |
326 |
317 |
$1K |
| A7013 |
Disposable compressor filter |
450 |
417 |
$192.52 |