| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,347 |
8,163 |
$486K |
| E0466 |
Home vent non-invasive inter |
413 |
408 |
$198K |
| A7031 |
Replacement facemask interfa |
3,523 |
3,428 |
$129K |
| A7030 |
Cpap full face mask |
1,867 |
1,821 |
$113K |
| E0601 |
Cont airway pressure device |
2,559 |
2,525 |
$94K |
| E0431 |
Portable gaseous 02 |
6,734 |
6,573 |
$85K |
| A7037 |
Pos airway pressure tubing |
4,138 |
4,062 |
$57K |
| E0562 |
Humidifier heated used w pap |
3,380 |
3,329 |
$43K |
| E0470 |
Rad w/o backup non-inv intfc |
479 |
468 |
$38K |
| A7034 |
Nasal application device |
1,130 |
1,106 |
$36K |
| A7032 |
Replacement nasal cushion |
1,181 |
1,135 |
$35K |
| E0260 |
Hosp bed semi-electr w/ matt |
991 |
955 |
$30K |
| A7038 |
Pos airway pressure filter |
6,136 |
5,941 |
$23K |
| K0001 |
Standard wheelchair |
1,811 |
1,745 |
$22K |
| A7035 |
Pos airway press headgear |
1,779 |
1,732 |
$20K |
| E0570 |
Nebulizer with compression |
1,650 |
1,611 |
$18K |
| A7033 |
Replacement nasal pillows |
643 |
623 |
$16K |
| A7046 |
Repl water chamber, pap dev |
1,303 |
1,275 |
$7K |
| E0143 |
Walker folding wheeled w/o s |
79 |
76 |
$2K |
| A7005 |
Nondisposable nebulizer set |
164 |
151 |
$2K |
| E0630 |
Patient lift hydraulic |
18 |
14 |
$367.20 |