| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
83,168 |
70,829 |
$3.50M |
| E0466 |
Home vent non-invasive inter |
4,072 |
3,469 |
$1.77M |
| K0738 |
Portable gas oxygen system |
30,806 |
26,884 |
$632K |
| E0424 |
Stationary compressed gas 02 |
6,500 |
5,523 |
$374K |
| E0431 |
Portable gaseous 02 |
21,614 |
19,094 |
$273K |
| E0601 |
Cont airway pressure device |
6,552 |
5,268 |
$179K |
| E0562 |
Humidifier heated used w pap |
1,918 |
983 |
$136K |
| A7030 |
Cpap full face mask |
3,434 |
1,889 |
$85K |
| A7034 |
Nasal application device |
3,637 |
1,920 |
$52K |
| E1392 |
Portable oxygen concentrator |
5,441 |
4,839 |
$47K |
| E0600 |
Suction pump portab hom modl |
1,063 |
1,002 |
$45K |
| A7037 |
Pos airway pressure tubing |
4,854 |
3,058 |
$39K |
| A7031 |
Replacement facemask interfa |
2,350 |
1,325 |
$30K |
| A7035 |
Pos airway press headgear |
5,119 |
2,701 |
$25K |
| A7032 |
Replacement nasal cushion |
2,016 |
986 |
$22K |
| E0434 |
Portable liquid 02 |
1,111 |
1,004 |
$19K |
| A4604 |
Tubing with heating element |
1,709 |
760 |
$15K |
| E0439 |
Stationary liquid 02 |
337 |
293 |
$14K |
| A7046 |
Repl water chamber, pap dev |
3,313 |
1,872 |
$14K |
| E0470 |
Rad w/o backup non-inv intfc |
188 |
143 |
$12K |
| E0441 |
Stationary o2 contents, gas |
336 |
280 |
$10K |
| A7038 |
Pos airway pressure filter |
7,155 |
3,866 |
$10K |
| E0471 |
Rad w/backup non inv intrfc |
41 |
25 |
$9K |
| E0570 |
Nebulizer with compression |
1,099 |
1,008 |
$7K |
| K0001 |
Standard wheelchair |
761 |
647 |
$5K |
| E0442 |
Stationary o2 contents, liq |
75 |
62 |
$2K |
| A7039 |
Filter, non disposable w pap |
318 |
159 |
$317.65 |
| A7033 |
Replacement nasal pillows |
22 |
13 |
$185.31 |
| A7005 |
Nondisposable nebulizer set |
17 |
12 |
$151.91 |
| A7036 |
Pos airway press chinstrap |
32 |
24 |
$93.12 |
| A7003 |
Nebulizer administration set |
37 |
26 |
$18.38 |