| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,543 |
11,421 |
$924K |
| E0601 |
Cont airway pressure device |
1,777 |
1,765 |
$113K |
| E0431 |
Portable gaseous 02 |
5,696 |
5,609 |
$98K |
| A7030 |
Cpap full face mask |
1,153 |
1,148 |
$88K |
| E1392 |
Portable oxygen concentrator |
1,459 |
1,450 |
$39K |
| E0570 |
Nebulizer with compression |
1,987 |
1,980 |
$38K |
| A7031 |
Replacement facemask interfa |
1,023 |
994 |
$35K |
| A7035 |
Pos airway press headgear |
1,414 |
1,407 |
$15K |
| E0466 |
Home vent non-invasive inter |
40 |
40 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
404 |
404 |
$11K |
| A7037 |
Pos airway pressure tubing |
1,471 |
1,465 |
$11K |
| E0562 |
Humidifier heated used w pap |
167 |
166 |
$10K |
| K0001 |
Standard wheelchair |
806 |
801 |
$9K |
| A7038 |
Pos airway pressure filter |
2,803 |
2,702 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
121 |
120 |
$4K |
| A7034 |
Nasal application device |
169 |
169 |
$4K |
| A7032 |
Replacement nasal cushion |
207 |
193 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
68 |
65 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
13 |
13 |
$2K |
| A7039 |
Filter, non disposable w pap |
218 |
215 |
$676.75 |
| A7046 |
Repl water chamber, pap dev |
109 |
109 |
$518.31 |
| A7005 |
Nondisposable nebulizer set |
41 |
41 |
$460.42 |
| A4604 |
Tubing with heating element |
38 |
38 |
$174.70 |
| A7033 |
Replacement nasal pillows |
14 |
12 |
$172.31 |
| A7000 |
Disposable canister for pump |
13 |
12 |
$128.80 |