| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,941 |
17,593 |
$713K |
| E0466 |
Home vent non-invasive inter |
884 |
730 |
$435K |
| E0601 |
Cont airway pressure device |
5,820 |
5,244 |
$193K |
| E0431 |
Portable gaseous 02 |
13,084 |
11,229 |
$103K |
| E0562 |
Humidifier heated used w pap |
1,823 |
1,599 |
$88K |
| E0570 |
Nebulizer with compression |
3,477 |
2,870 |
$73K |
| E0470 |
Rad w/o backup non-inv intfc |
917 |
753 |
$54K |
| A7030 |
Cpap full face mask |
1,062 |
901 |
$54K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,592 |
1,246 |
$40K |
| A7031 |
Replacement facemask interfa |
1,832 |
1,620 |
$40K |
| A7034 |
Nasal application device |
1,137 |
986 |
$39K |
| A7035 |
Pos airway press headgear |
2,713 |
2,362 |
$31K |
| A7037 |
Pos airway pressure tubing |
3,388 |
2,972 |
$27K |
| K0001 |
Standard wheelchair |
1,846 |
1,447 |
$19K |
| A7038 |
Pos airway pressure filter |
5,608 |
4,882 |
$15K |
| A7039 |
Filter, non disposable w pap |
2,587 |
2,273 |
$10K |
| A7032 |
Replacement nasal cushion |
353 |
324 |
$7K |
| A7005 |
Nondisposable nebulizer set |
414 |
356 |
$3K |
| A7003 |
Nebulizer administration set |
879 |
833 |
$2K |
| A7033 |
Replacement nasal pillows |
47 |
44 |
$911.03 |
| E0143 |
Walker folding wheeled w/o s |
30 |
25 |
$596.57 |
| A4253 |
Blood glucose/reagent strips |
15 |
12 |
$39.95 |