| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,850 |
14,166 |
$650K |
| E0431 |
Portable gaseous 02 |
9,658 |
8,637 |
$419K |
| E0562 |
Humidifier heated used w pap |
3,237 |
2,903 |
$108K |
| E0601 |
Cont airway pressure device |
4,060 |
3,600 |
$85K |
| E0445 |
Oximeter non-invasive |
471 |
402 |
$74K |
| E0443 |
Portable 02 contents, gas |
3,369 |
2,755 |
$63K |
| A7030 |
Cpap full face mask |
1,067 |
963 |
$47K |
| E0603 |
Electric breast pump |
83 |
82 |
$9K |
| A7034 |
Nasal application device |
236 |
205 |
$9K |
| K0738 |
Portable gas oxygen system |
488 |
410 |
$5K |
| A7035 |
Pos airway press headgear |
1,430 |
1,311 |
$5K |
| A7037 |
Pos airway pressure tubing |
1,206 |
1,099 |
$5K |
| A7038 |
Pos airway pressure filter |
1,934 |
1,621 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
111 |
89 |
$3K |
| A7031 |
Replacement facemask interfa |
888 |
780 |
$3K |
| K0001 |
Standard wheelchair |
202 |
179 |
$3K |
| E0570 |
Nebulizer with compression |
36 |
36 |
$1K |
| E0471 |
Rad w/backup non inv intrfc |
13 |
13 |
$1K |
| A7046 |
Repl water chamber, pap dev |
414 |
356 |
$809.00 |
| E0424 |
Stationary compressed gas 02 |
12 |
12 |
$293.82 |
| E1392 |
Portable oxygen concentrator |
31 |
31 |
$123.00 |
| A4604 |
Tubing with heating element |
25 |
25 |
$42.63 |
| A7032 |
Replacement nasal cushion |
29 |
18 |
$0.00 |
| A7005 |
Nondisposable nebulizer set |
14 |
14 |
$0.00 |