| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
84,308 |
77,262 |
$4.82M |
| E0466 |
Home vent non-invasive inter |
1,860 |
1,646 |
$969K |
| E0431 |
Portable gaseous 02 |
58,783 |
54,023 |
$723K |
| E0601 |
Cont airway pressure device |
8,122 |
6,793 |
$348K |
| E0562 |
Humidifier heated used w pap |
3,753 |
2,862 |
$272K |
| E0424 |
Stationary compressed gas 02 |
3,064 |
2,951 |
$246K |
| A7030 |
Cpap full face mask |
2,536 |
2,218 |
$190K |
| A7034 |
Nasal application device |
2,172 |
1,941 |
$98K |
| A7037 |
Pos airway pressure tubing |
4,098 |
3,643 |
$71K |
| A7035 |
Pos airway press headgear |
3,546 |
3,136 |
$62K |
| A7031 |
Replacement facemask interfa |
1,558 |
1,345 |
$39K |
| E1392 |
Portable oxygen concentrator |
2,072 |
1,859 |
$36K |
| A7038 |
Pos airway pressure filter |
5,568 |
4,884 |
$26K |
| E0570 |
Nebulizer with compression |
2,976 |
2,379 |
$24K |
| K0738 |
Portable gas oxygen system |
1,481 |
1,162 |
$24K |
| A4604 |
Tubing with heating element |
909 |
823 |
$20K |
| E0470 |
Rad w/o backup non-inv intfc |
176 |
140 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,497 |
1,303 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
391 |
312 |
$8K |
| A7032 |
Replacement nasal cushion |
468 |
397 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
25 |
25 |
$5K |
| A7039 |
Filter, non disposable w pap |
1,011 |
857 |
$5K |
| K0001 |
Standard wheelchair |
280 |
232 |
$4K |
| E0443 |
Portable 02 contents, gas |
493 |
283 |
$3K |
| A7033 |
Replacement nasal pillows |
94 |
90 |
$1K |
| A7036 |
Pos airway press chinstrap |
54 |
51 |
$383.35 |
| A7005 |
Nondisposable nebulizer set |
16 |
16 |
$176.46 |
| A9279 |
Monitoring feature/devicenoc |
53 |
41 |
$0.00 |