| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
27,720 |
20,392 |
$720K |
| E0466 |
Home vent non-invasive inter |
847 |
525 |
$168K |
| A7030 |
Cpap full face mask |
2,177 |
1,950 |
$116K |
| E0601 |
Cont airway pressure device |
5,738 |
3,540 |
$74K |
| E0431 |
Portable gaseous 02 |
13,156 |
10,191 |
$72K |
| A7031 |
Replacement facemask interfa |
2,848 |
2,505 |
$60K |
| E0570 |
Nebulizer with compression |
5,676 |
4,397 |
$50K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,287 |
1,838 |
$33K |
| A7035 |
Pos airway press headgear |
2,364 |
2,124 |
$29K |
| E0562 |
Humidifier heated used w pap |
6,460 |
3,958 |
$28K |
| K0001 |
Standard wheelchair |
3,179 |
2,438 |
$25K |
| A7037 |
Pos airway pressure tubing |
2,858 |
2,537 |
$21K |
| A7034 |
Nasal application device |
527 |
465 |
$18K |
| A4604 |
Tubing with heating element |
403 |
380 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,603 |
1,455 |
$13K |
| A7038 |
Pos airway pressure filter |
6,729 |
5,953 |
$13K |
| A7032 |
Replacement nasal cushion |
413 |
365 |
$9K |
| E1392 |
Portable oxygen concentrator |
860 |
661 |
$7K |
| A7003 |
Nebulizer administration set |
2,986 |
2,357 |
$2K |
| E0443 |
Portable 02 contents, gas |
530 |
355 |
$2K |
| A7005 |
Nondisposable nebulizer set |
204 |
157 |
$257.33 |
| E0143 |
Walker folding wheeled w/o s |
15 |
12 |
$212.24 |