| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,934 |
14,892 |
$623K |
| E0466 |
Home vent non-invasive inter |
899 |
828 |
$344K |
| E0431 |
Portable gaseous 02 |
10,187 |
9,446 |
$70K |
| A7031 |
Replacement facemask interfa |
2,066 |
1,973 |
$59K |
| A7030 |
Cpap full face mask |
1,124 |
1,081 |
$57K |
| E0601 |
Cont airway pressure device |
1,608 |
1,535 |
$46K |
| A7037 |
Pos airway pressure tubing |
1,943 |
1,862 |
$18K |
| A7032 |
Replacement nasal cushion |
646 |
626 |
$17K |
| E0465 |
Home vent invasive interface |
38 |
36 |
$16K |
| E0562 |
Humidifier heated used w pap |
1,461 |
1,385 |
$15K |
| A7038 |
Pos airway pressure filter |
3,649 |
3,469 |
$12K |
| A7035 |
Pos airway press headgear |
752 |
717 |
$8K |
| E1392 |
Portable oxygen concentrator |
880 |
793 |
$5K |
| E0570 |
Nebulizer with compression |
1,974 |
1,894 |
$5K |
| E0443 |
Portable 02 contents, gas |
369 |
341 |
$3K |
| A7034 |
Nasal application device |
102 |
100 |
$3K |
| A7046 |
Repl water chamber, pap dev |
435 |
417 |
$3K |
| K0001 |
Standard wheelchair |
164 |
156 |
$2K |
| A7003 |
Nebulizer administration set |
1,889 |
1,639 |
$1K |
| A4629 |
Tracheostomy care kit |
13 |
12 |
$366.59 |
| A7000 |
Disposable canister for pump |
58 |
49 |
$325.75 |
| A7002 |
Tubing used w suction pump |
29 |
24 |
$96.41 |
| A7039 |
Filter, non disposable w pap |
27 |
27 |
$85.88 |
| A7005 |
Nondisposable nebulizer set |
26 |
25 |
$63.51 |