| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,241 |
13,266 |
$741K |
| E0466 |
Home vent non-invasive inter |
1,109 |
1,069 |
$284K |
| E0431 |
Portable gaseous 02 |
6,141 |
5,807 |
$59K |
| A7030 |
Cpap full face mask |
886 |
863 |
$56K |
| A7031 |
Replacement facemask interfa |
956 |
933 |
$50K |
| A4604 |
Tubing with heating element |
1,601 |
1,567 |
$45K |
| E0601 |
Cont airway pressure device |
1,118 |
1,071 |
$42K |
| E1392 |
Portable oxygen concentrator |
2,541 |
2,402 |
$26K |
| E0562 |
Humidifier heated used w pap |
1,969 |
1,902 |
$23K |
| A7034 |
Nasal application device |
547 |
528 |
$22K |
| A7035 |
Pos airway press headgear |
1,369 |
1,336 |
$19K |
| E0570 |
Nebulizer with compression |
2,039 |
1,895 |
$13K |
| A7038 |
Pos airway pressure filter |
2,209 |
2,154 |
$13K |
| A7032 |
Replacement nasal cushion |
156 |
151 |
$8K |
| A7046 |
Repl water chamber, pap dev |
471 |
459 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
61 |
56 |
$2K |
| A7037 |
Pos airway pressure tubing |
147 |
144 |
$1K |
| A7033 |
Replacement nasal pillows |
26 |
25 |
$1K |
| K0001 |
Standard wheelchair |
54 |
51 |
$914.11 |
| A7039 |
Filter, non disposable w pap |
49 |
49 |
$252.70 |
| A7003 |
Nebulizer administration set |
130 |
111 |
$202.02 |