| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,350 |
1,807 |
$606K |
| E1390 |
Oxygen concentrator |
11,165 |
9,372 |
$403K |
| E0431 |
Portable gaseous 02 |
7,875 |
6,599 |
$46K |
| E0601 |
Cont airway pressure device |
1,786 |
1,517 |
$35K |
| E0570 |
Nebulizer with compression |
3,181 |
2,686 |
$16K |
| K0001 |
Standard wheelchair |
620 |
511 |
$8K |
| E1392 |
Portable oxygen concentrator |
648 |
578 |
$8K |
| A7030 |
Cpap full face mask |
271 |
192 |
$7K |
| A7038 |
Pos airway pressure filter |
1,374 |
885 |
$7K |
| E0261 |
Hosp bed semi-electr w/o mat |
255 |
225 |
$5K |
| E0562 |
Humidifier heated used w pap |
687 |
587 |
$4K |
| A7037 |
Pos airway pressure tubing |
413 |
338 |
$3K |
| A7035 |
Pos airway press headgear |
171 |
141 |
$3K |
| A7031 |
Replacement facemask interfa |
70 |
49 |
$869.35 |
| A7034 |
Nasal application device |
34 |
25 |
$500.23 |
| A9279 |
Monitoring feature/devicenoc |
554 |
366 |
$207.47 |
| A7039 |
Filter, non disposable w pap |
28 |
28 |
$50.48 |