| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,351 |
4,928 |
$245K |
| E0570 |
Nebulizer with compression |
4,208 |
3,701 |
$146K |
| E0601 |
Cont airway pressure device |
3,569 |
3,289 |
$99K |
| A7030 |
Cpap full face mask |
1,747 |
1,615 |
$85K |
| E0470 |
Rad w/o backup non-inv intfc |
792 |
746 |
$45K |
| E0431 |
Portable gaseous 02 |
3,846 |
3,571 |
$42K |
| A7037 |
Pos airway pressure tubing |
2,472 |
2,280 |
$35K |
| A7031 |
Replacement facemask interfa |
1,210 |
1,078 |
$23K |
| A7005 |
Nondisposable nebulizer set |
1,643 |
1,445 |
$18K |
| A7035 |
Pos airway press headgear |
1,739 |
1,592 |
$17K |
| A7038 |
Pos airway pressure filter |
2,717 |
2,350 |
$11K |
| A4627 |
Spacer bag/reservoir |
431 |
364 |
$9K |
| E0562 |
Humidifier heated used w pap |
201 |
184 |
$9K |
| A7034 |
Nasal application device |
286 |
261 |
$7K |
| K0001 |
Standard wheelchair |
459 |
423 |
$5K |
| A7039 |
Filter, non disposable w pap |
828 |
778 |
$4K |
| E1392 |
Portable oxygen concentrator |
286 |
275 |
$4K |
| A7015 |
Aerosol mask used w nebulize |
2,109 |
1,804 |
$2K |
| A7013 |
Disposable compressor filter |
1,993 |
1,700 |
$822.01 |
| E0143 |
Walker folding wheeled w/o s |
23 |
17 |
$592.06 |
| A7003 |
Nebulizer administration set |
406 |
309 |
$498.38 |
| A7032 |
Replacement nasal cushion |
30 |
24 |
$393.46 |