| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,556 |
8,828 |
$831K |
| E0601 |
Cont airway pressure device |
11,425 |
9,585 |
$480K |
| E0562 |
Humidifier heated used w pap |
14,639 |
12,606 |
$353K |
| A7030 |
Cpap full face mask |
4,484 |
3,609 |
$295K |
| E0466 |
Home vent non-invasive inter |
1,050 |
980 |
$250K |
| E0470 |
Rad w/o backup non-inv intfc |
1,596 |
1,356 |
$143K |
| A7035 |
Pos airway press headgear |
5,180 |
4,103 |
$112K |
| A4604 |
Tubing with heating element |
3,475 |
2,871 |
$99K |
| L3807 |
Whfo w/o joints pre cst |
594 |
352 |
$79K |
| A7038 |
Pos airway pressure filter |
7,907 |
6,459 |
$78K |
| A7034 |
Nasal application device |
1,827 |
1,503 |
$76K |
| A7037 |
Pos airway pressure tubing |
3,518 |
2,823 |
$59K |
| A7031 |
Replacement facemask interfa |
2,339 |
2,044 |
$54K |
| E0570 |
Nebulizer with compression |
3,137 |
2,804 |
$43K |
| A7046 |
Repl water chamber, pap dev |
3,638 |
2,818 |
$42K |
| A5512 |
Multi den insert direct form |
447 |
304 |
$29K |
| A5500 |
Diab shoe for density insert |
448 |
305 |
$27K |
| A7039 |
Filter, non disposable w pap |
1,538 |
1,246 |
$19K |
| E1392 |
Portable oxygen concentrator |
2,696 |
2,494 |
$11K |
| A7032 |
Replacement nasal cushion |
83 |
75 |
$1K |
| K0738 |
Portable gas oxygen system |
98 |
77 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
50 |
48 |
$1K |
| K0001 |
Standard wheelchair |
40 |
38 |
$452.78 |
| A7003 |
Nebulizer administration set |
139 |
114 |
$195.11 |
| A7013 |
Disposable compressor filter |
62 |
51 |
$36.09 |