| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,332 |
16,246 |
$765K |
| E0466 |
Home vent non-invasive inter |
984 |
982 |
$269K |
| E0431 |
Portable gaseous 02 |
5,871 |
5,826 |
$66K |
| E0601 |
Cont airway pressure device |
1,270 |
1,267 |
$55K |
| E0562 |
Humidifier heated used w pap |
1,914 |
1,911 |
$34K |
| E0443 |
Portable 02 contents, gas |
756 |
748 |
$17K |
| E0570 |
Nebulizer with compression |
3,105 |
3,092 |
$14K |
| A7038 |
Pos airway pressure filter |
2,134 |
2,129 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
25 |
25 |
$8K |
| A7035 |
Pos airway press headgear |
395 |
394 |
$6K |
| A7033 |
Replacement nasal pillows |
186 |
184 |
$6K |
| K0001 |
Standard wheelchair |
198 |
196 |
$4K |
| A7032 |
Replacement nasal cushion |
180 |
179 |
$4K |
| A7030 |
Cpap full face mask |
65 |
65 |
$3K |
| A7031 |
Replacement facemask interfa |
85 |
82 |
$3K |
| A7037 |
Pos airway pressure tubing |
177 |
177 |
$3K |
| A7034 |
Nasal application device |
74 |
74 |
$3K |
| A7046 |
Repl water chamber, pap dev |
300 |
300 |
$2K |
| A4604 |
Tubing with heating element |
116 |
116 |
$2K |
| A7005 |
Nondisposable nebulizer set |
257 |
243 |
$544.23 |
| A7003 |
Nebulizer administration set |
251 |
245 |
$30.38 |