| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,805 |
17,121 |
$570K |
| E0466 |
Home vent non-invasive inter |
1,795 |
1,464 |
$361K |
| E0431 |
Portable gaseous 02 |
5,408 |
4,799 |
$104K |
| E0601 |
Cont airway pressure device |
5,168 |
4,696 |
$87K |
| K0738 |
Portable gas oxygen system |
4,244 |
3,793 |
$77K |
| E1392 |
Portable oxygen concentrator |
2,850 |
2,614 |
$29K |
| E0260 |
Hosp bed semi-electr w/ matt |
520 |
461 |
$15K |
| K0001 |
Standard wheelchair |
686 |
649 |
$11K |
| A7034 |
Nasal application device |
609 |
496 |
$10K |
| A7035 |
Pos airway press headgear |
1,241 |
1,039 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,445 |
1,236 |
$8K |
| E0570 |
Nebulizer with compression |
681 |
623 |
$7K |
| A7038 |
Pos airway pressure filter |
2,246 |
1,908 |
$6K |
| A7030 |
Cpap full face mask |
188 |
150 |
$5K |
| E0562 |
Humidifier heated used w pap |
44 |
38 |
$3K |
| A7046 |
Repl water chamber, pap dev |
274 |
226 |
$858.29 |
| E0143 |
Walker folding wheeled w/o s |
14 |
12 |
$295.02 |
| A7031 |
Replacement facemask interfa |
14 |
14 |
$183.54 |
| A4604 |
Tubing with heating element |
19 |
16 |
$180.33 |
| A7032 |
Replacement nasal cushion |
15 |
14 |
$169.27 |