| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
6,650 |
6,088 |
$3.05M |
| E1390 |
Oxygen concentrator |
25,086 |
21,909 |
$1.57M |
| E0601 |
Cont airway pressure device |
11,378 |
10,705 |
$455K |
| A7030 |
Cpap full face mask |
4,164 |
3,497 |
$291K |
| E0562 |
Humidifier heated used w pap |
1,866 |
1,521 |
$268K |
| A7034 |
Nasal application device |
4,782 |
3,996 |
$220K |
| E0470 |
Rad w/o backup non-inv intfc |
2,280 |
2,060 |
$199K |
| K0738 |
Portable gas oxygen system |
8,201 |
7,379 |
$181K |
| A4604 |
Tubing with heating element |
4,915 |
4,225 |
$134K |
| A7035 |
Pos airway press headgear |
6,326 |
5,386 |
$102K |
| A7032 |
Replacement nasal cushion |
3,072 |
2,586 |
$100K |
| E0431 |
Portable gaseous 02 |
5,303 |
4,724 |
$85K |
| A7031 |
Replacement facemask interfa |
3,129 |
2,703 |
$81K |
| E1392 |
Portable oxygen concentrator |
4,854 |
4,208 |
$63K |
| A7038 |
Pos airway pressure filter |
10,520 |
8,846 |
$57K |
| A7037 |
Pos airway pressure tubing |
3,947 |
3,284 |
$51K |
| A7046 |
Repl water chamber, pap dev |
4,875 |
4,146 |
$42K |
| A7033 |
Replacement nasal pillows |
1,671 |
1,438 |
$41K |
| E0570 |
Nebulizer with compression |
1,095 |
1,073 |
$15K |
| E0260 |
Hosp bed semi-electr w/ matt |
170 |
123 |
$3K |
| K0001 |
Standard wheelchair |
193 |
148 |
$2K |
| A7526 |
Tracheostomy tube collar |
56 |
40 |
$2K |
| A7036 |
Pos airway press chinstrap |
171 |
153 |
$1K |
| A7005 |
Nondisposable nebulizer set |
78 |
74 |
$950.82 |
| A7039 |
Filter, non disposable w pap |
115 |
108 |
$623.49 |
| E0600 |
Suction pump portab hom modl |
33 |
14 |
$341.62 |
| A7000 |
Disposable canister for pump |
41 |
25 |
$202.32 |
| A7013 |
Disposable compressor filter |
75 |
72 |
$27.18 |
| A7003 |
Nebulizer administration set |
28 |
24 |
$17.04 |