| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,548 |
13,536 |
$661K |
| E0466 |
Home vent non-invasive inter |
763 |
715 |
$303K |
| E0601 |
Cont airway pressure device |
1,709 |
1,640 |
$75K |
| E0431 |
Portable gaseous 02 |
8,245 |
7,790 |
$67K |
| A7030 |
Cpap full face mask |
615 |
587 |
$45K |
| E0470 |
Rad w/o backup non-inv intfc |
320 |
316 |
$33K |
| A7031 |
Replacement facemask interfa |
589 |
570 |
$31K |
| E1392 |
Portable oxygen concentrator |
1,478 |
1,369 |
$20K |
| A4604 |
Tubing with heating element |
513 |
504 |
$15K |
| A7038 |
Pos airway pressure filter |
1,036 |
988 |
$10K |
| E0562 |
Humidifier heated used w pap |
667 |
663 |
$10K |
| A7034 |
Nasal application device |
132 |
132 |
$6K |
| A7035 |
Pos airway press headgear |
404 |
390 |
$5K |
| K0001 |
Standard wheelchair |
380 |
375 |
$5K |
| A7032 |
Replacement nasal cushion |
52 |
52 |
$4K |
| A7037 |
Pos airway pressure tubing |
150 |
129 |
$2K |
| A7046 |
Repl water chamber, pap dev |
200 |
195 |
$2K |
| E0570 |
Nebulizer with compression |
43 |
38 |
$540.19 |
| E0260 |
Hosp bed semi-electr w/ matt |
13 |
12 |
$197.07 |
| A7039 |
Filter, non disposable w pap |
18 |
14 |
$93.55 |