| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,317 |
7,233 |
$348K |
| E0601 |
Cont airway pressure device |
5,967 |
5,331 |
$250K |
| A7030 |
Cpap full face mask |
2,484 |
2,240 |
$157K |
| E0470 |
Rad w/o backup non-inv intfc |
838 |
777 |
$89K |
| E0562 |
Humidifier heated used w pap |
1,411 |
1,255 |
$77K |
| E0570 |
Nebulizer with compression |
3,550 |
3,177 |
$66K |
| A7037 |
Pos airway pressure tubing |
3,307 |
2,988 |
$42K |
| E0466 |
Home vent non-invasive inter |
148 |
112 |
$38K |
| A7034 |
Nasal application device |
917 |
831 |
$34K |
| A7035 |
Pos airway press headgear |
2,365 |
2,115 |
$31K |
| A7031 |
Replacement facemask interfa |
1,598 |
1,184 |
$30K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,377 |
1,169 |
$29K |
| E0431 |
Portable gaseous 02 |
4,969 |
4,147 |
$25K |
| K0003 |
Lightweight wheelchair |
1,729 |
1,403 |
$19K |
| A7038 |
Pos airway pressure filter |
4,350 |
3,484 |
$16K |
| A7046 |
Repl water chamber, pap dev |
1,202 |
1,090 |
$9K |
| A7039 |
Filter, non disposable w pap |
1,601 |
1,433 |
$7K |
| A7032 |
Replacement nasal cushion |
265 |
207 |
$6K |
| K0001 |
Standard wheelchair |
415 |
379 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
32 |
25 |
$653.83 |
| A9279 |
Monitoring feature/devicenoc |
280 |
242 |
$8.66 |