| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,197 |
1,634 |
$1.12M |
| E1390 |
Oxygen concentrator |
12,653 |
9,961 |
$602K |
| E0601 |
Cont airway pressure device |
6,549 |
4,601 |
$211K |
| E0430 |
Oxygen system gas portable |
1,988 |
1,515 |
$69K |
| A7038 |
Pos airway pressure filter |
3,414 |
2,771 |
$18K |
| A7031 |
Replacement facemask interfa |
1,474 |
1,164 |
$15K |
| E0570 |
Nebulizer with compression |
1,887 |
1,548 |
$14K |
| A7030 |
Cpap full face mask |
1,204 |
919 |
$13K |
| A7032 |
Replacement nasal cushion |
775 |
649 |
$11K |
| A7034 |
Nasal application device |
1,488 |
1,211 |
$10K |
| A7035 |
Pos airway press headgear |
1,679 |
1,350 |
$9K |
| E0600 |
Suction pump portab hom modl |
202 |
171 |
$8K |
| E0483 |
Hi freq chest wall oscil sys |
15 |
13 |
$7K |
| E1392 |
Portable oxygen concentrator |
1,663 |
1,331 |
$6K |
| A7037 |
Pos airway pressure tubing |
2,190 |
1,742 |
$6K |
| E0443 |
Portable 02 contents, gas |
499 |
454 |
$5K |
| E0431 |
Portable gaseous 02 |
3,812 |
3,231 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
28 |
25 |
$3K |
| E0562 |
Humidifier heated used w pap |
27 |
27 |
$2K |
| A7046 |
Repl water chamber, pap dev |
728 |
527 |
$2K |
| A4604 |
Tubing with heating element |
291 |
234 |
$1K |
| A7039 |
Filter, non disposable w pap |
1,158 |
938 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
65 |
63 |
$1K |
| K0553 |
Ther cgm supply allowance |
54 |
36 |
$545.82 |
| K0001 |
Standard wheelchair |
59 |
58 |
$503.19 |