| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
33,823 |
29,139 |
$707K |
| E0466 |
Home vent non-invasive inter |
1,449 |
1,186 |
$153K |
| E0431 |
Portable gaseous 02 |
13,333 |
11,607 |
$65K |
| A7031 |
Replacement facemask interfa |
2,534 |
2,231 |
$46K |
| A7030 |
Cpap full face mask |
1,087 |
962 |
$38K |
| E0601 |
Cont airway pressure device |
1,713 |
1,471 |
$32K |
| A7032 |
Replacement nasal cushion |
573 |
529 |
$13K |
| E0570 |
Nebulizer with compression |
4,399 |
3,933 |
$11K |
| A7037 |
Pos airway pressure tubing |
2,014 |
1,809 |
$11K |
| A7038 |
Pos airway pressure filter |
4,351 |
3,842 |
$10K |
| A7034 |
Nasal application device |
357 |
315 |
$9K |
| A7035 |
Pos airway press headgear |
1,144 |
993 |
$9K |
| E0562 |
Humidifier heated used w pap |
1,569 |
1,369 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
560 |
501 |
$6K |
| K0001 |
Standard wheelchair |
532 |
476 |
$4K |
| A7046 |
Repl water chamber, pap dev |
663 |
591 |
$4K |
| E1392 |
Portable oxygen concentrator |
602 |
547 |
$4K |
| E0443 |
Portable 02 contents, gas |
497 |
420 |
$2K |
| A7003 |
Nebulizer administration set |
2,970 |
2,633 |
$1K |
| A7033 |
Replacement nasal pillows |
15 |
12 |
$278.42 |
| A7005 |
Nondisposable nebulizer set |
55 |
55 |
$80.73 |