| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,785 |
1,567 |
$958K |
| E1390 |
Oxygen concentrator |
12,363 |
11,880 |
$931K |
| E0601 |
Cont airway pressure device |
3,279 |
2,998 |
$126K |
| E0431 |
Portable gaseous 02 |
6,128 |
5,854 |
$90K |
| K0738 |
Portable gas oxygen system |
3,552 |
3,409 |
$73K |
| E0143 |
Walker folding wheeled w/o s |
1,388 |
1,334 |
$50K |
| K0001 |
Standard wheelchair |
2,814 |
2,675 |
$49K |
| E0470 |
Rad w/o backup non-inv intfc |
456 |
431 |
$35K |
| A7034 |
Nasal application device |
657 |
632 |
$33K |
| A7030 |
Cpap full face mask |
375 |
360 |
$31K |
| E0260 |
Hosp bed semi-electr w/ matt |
808 |
735 |
$23K |
| E0570 |
Nebulizer with compression |
1,069 |
1,023 |
$20K |
| A7031 |
Replacement facemask interfa |
464 |
379 |
$16K |
| A7035 |
Pos airway press headgear |
982 |
929 |
$16K |
| A7038 |
Pos airway pressure filter |
2,252 |
1,905 |
$13K |
| A4604 |
Tubing with heating element |
345 |
334 |
$13K |
| A7037 |
Pos airway pressure tubing |
681 |
646 |
$8K |
| A7032 |
Replacement nasal cushion |
293 |
194 |
$6K |
| E1392 |
Portable oxygen concentrator |
230 |
208 |
$3K |
| A7046 |
Repl water chamber, pap dev |
311 |
305 |
$3K |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$2K |
| E0630 |
Patient lift hydraulic |
76 |
67 |
$1K |
| A7033 |
Replacement nasal pillows |
29 |
26 |
$843.96 |