| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,449 |
11,487 |
$371K |
| E0466 |
Home vent non-invasive inter |
474 |
355 |
$70K |
| A7030 |
Cpap full face mask |
2,422 |
1,893 |
$64K |
| A7031 |
Replacement facemask interfa |
3,340 |
2,567 |
$45K |
| E0431 |
Portable gaseous 02 |
7,768 |
6,054 |
$42K |
| A4604 |
Tubing with heating element |
3,309 |
2,604 |
$38K |
| E0601 |
Cont airway pressure device |
2,446 |
1,905 |
$36K |
| E1392 |
Portable oxygen concentrator |
3,328 |
2,590 |
$23K |
| A7034 |
Nasal application device |
944 |
738 |
$16K |
| A7032 |
Replacement nasal cushion |
1,000 |
790 |
$14K |
| A7038 |
Pos airway pressure filter |
5,959 |
4,641 |
$11K |
| A7035 |
Pos airway press headgear |
1,771 |
1,401 |
$10K |
| E0570 |
Nebulizer with compression |
2,506 |
2,023 |
$8K |
| A7033 |
Replacement nasal pillows |
497 |
363 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,294 |
1,013 |
$5K |
| E0562 |
Humidifier heated used w pap |
205 |
166 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
249 |
215 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
72 |
65 |
$2K |
| K0001 |
Standard wheelchair |
137 |
115 |
$2K |
| A4409 |
Ost skn barr convex <=4 sq i |
16 |
12 |
$1K |
| A4425 |
Ost pch drain for barrier fl |
15 |
13 |
$398.01 |
| A4357 |
Bedside drainage bag |
119 |
108 |
$314.04 |
| A7005 |
Nondisposable nebulizer set |
14 |
13 |
$72.30 |