| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,356 |
4,877 |
$351K |
| E0601 |
Cont airway pressure device |
4,518 |
3,521 |
$157K |
| A7030 |
Cpap full face mask |
1,588 |
1,102 |
$80K |
| E0570 |
Nebulizer with compression |
2,806 |
2,141 |
$76K |
| E0431 |
Portable gaseous 02 |
4,906 |
3,871 |
$63K |
| A7031 |
Replacement facemask interfa |
1,435 |
1,008 |
$41K |
| E0562 |
Humidifier heated used w pap |
338 |
253 |
$37K |
| A4604 |
Tubing with heating element |
2,217 |
1,469 |
$33K |
| A7034 |
Nasal application device |
653 |
452 |
$18K |
| A7035 |
Pos airway press headgear |
1,580 |
1,092 |
$17K |
| A7038 |
Pos airway pressure filter |
2,954 |
2,048 |
$12K |
| A7032 |
Replacement nasal cushion |
221 |
157 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,087 |
740 |
$5K |
| A4627 |
Spacer bag/reservoir |
83 |
83 |
$2K |
| K0001 |
Standard wheelchair |
133 |
110 |
$2K |
| A7037 |
Pos airway pressure tubing |
68 |
59 |
$1K |
| E0470 |
Rad w/o backup non-inv intfc |
25 |
24 |
$1K |
| A7005 |
Nondisposable nebulizer set |
47 |
42 |
$775.87 |
| E0260 |
Hosp bed semi-electr w/ matt |
48 |
40 |
$756.98 |
| E0143 |
Walker folding wheeled w/o s |
32 |
24 |
$701.62 |
| A7003 |
Nebulizer administration set |
157 |
148 |
$443.02 |
| E1392 |
Portable oxygen concentrator |
47 |
41 |
$314.57 |
| A7015 |
Aerosol mask used w nebulize |
75 |
69 |
$100.32 |