| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
45,108 |
39,018 |
$1.07M |
| A7030 |
Cpap full face mask |
4,066 |
3,607 |
$149K |
| A7031 |
Replacement facemask interfa |
6,538 |
5,876 |
$128K |
| E0431 |
Portable gaseous 02 |
21,218 |
18,047 |
$120K |
| E0601 |
Cont airway pressure device |
5,243 |
4,523 |
$100K |
| A4604 |
Tubing with heating element |
5,648 |
4,968 |
$91K |
| E0466 |
Home vent non-invasive inter |
841 |
675 |
$75K |
| A7034 |
Nasal application device |
1,693 |
1,530 |
$38K |
| E0562 |
Humidifier heated used w pap |
6,140 |
5,309 |
$37K |
| E0570 |
Nebulizer with compression |
8,685 |
7,444 |
$34K |
| A7032 |
Replacement nasal cushion |
1,434 |
1,296 |
$31K |
| E1392 |
Portable oxygen concentrator |
4,941 |
4,429 |
$31K |
| A7035 |
Pos airway press headgear |
3,528 |
3,117 |
$27K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,006 |
1,602 |
$26K |
| A7038 |
Pos airway pressure filter |
10,602 |
9,557 |
$24K |
| A7033 |
Replacement nasal pillows |
1,158 |
1,081 |
$21K |
| K0001 |
Standard wheelchair |
2,579 |
2,231 |
$16K |
| A7046 |
Repl water chamber, pap dev |
2,739 |
2,444 |
$14K |
| B4035 |
Enteral feed supp pump per d |
175 |
112 |
$12K |
| A7003 |
Nebulizer administration set |
3,526 |
3,074 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
98 |
92 |
$3K |
| A7037 |
Pos airway pressure tubing |
118 |
112 |
$792.78 |
| K0003 |
Lightweight wheelchair |
57 |
49 |
$690.34 |
| A7000 |
Disposable canister for pump |
52 |
51 |
$659.73 |
| A7013 |
Disposable compressor filter |
879 |
771 |
$433.22 |
| E0600 |
Suction pump portab hom modl |
13 |
12 |
$284.57 |
| A4628 |
Oropharyngeal suction cath |
12 |
12 |
$139.96 |