| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
81,700 |
76,005 |
$4.64M |
| E0466 |
Home vent non-invasive inter |
1,993 |
1,704 |
$1.03M |
| E0431 |
Portable gaseous 02 |
63,060 |
59,012 |
$782K |
| E0424 |
Stationary compressed gas 02 |
4,400 |
4,256 |
$356K |
| E0601 |
Cont airway pressure device |
8,041 |
6,905 |
$342K |
| E0562 |
Humidifier heated used w pap |
3,753 |
2,949 |
$277K |
| A7030 |
Cpap full face mask |
2,038 |
1,847 |
$138K |
| A7034 |
Nasal application device |
2,165 |
1,923 |
$95K |
| A7035 |
Pos airway press headgear |
3,105 |
2,784 |
$52K |
| A7037 |
Pos airway pressure tubing |
3,221 |
2,892 |
$49K |
| E0470 |
Rad w/o backup non-inv intfc |
381 |
291 |
$33K |
| A7031 |
Replacement facemask interfa |
1,436 |
1,266 |
$32K |
| A4604 |
Tubing with heating element |
1,062 |
981 |
$26K |
| E0570 |
Nebulizer with compression |
2,437 |
2,113 |
$23K |
| A7038 |
Pos airway pressure filter |
5,097 |
4,545 |
$22K |
| E1392 |
Portable oxygen concentrator |
911 |
832 |
$20K |
| K0738 |
Portable gas oxygen system |
1,138 |
902 |
$16K |
| A7032 |
Replacement nasal cushion |
532 |
472 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,407 |
1,233 |
$10K |
| E0143 |
Walker folding wheeled w/o s |
239 |
203 |
$4K |
| E0471 |
Rad w/backup non inv intrfc |
27 |
25 |
$3K |
| E0443 |
Portable 02 contents, gas |
496 |
326 |
$3K |
| A7039 |
Filter, non disposable w pap |
653 |
570 |
$3K |
| A7033 |
Replacement nasal pillows |
168 |
148 |
$2K |
| E0430 |
Oxygen system gas portable |
74 |
66 |
$2K |
| A7036 |
Pos airway press chinstrap |
46 |
43 |
$248.20 |
| A9279 |
Monitoring feature/devicenoc |
46 |
38 |
$0.00 |