| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
27,586 |
27,020 |
$1.06M |
| E0466 |
Home vent non-invasive inter |
3,832 |
3,817 |
$1.04M |
| A7030 |
Cpap full face mask |
4,072 |
4,045 |
$264K |
| A7031 |
Replacement facemask interfa |
6,257 |
6,187 |
$182K |
| E0431 |
Portable gaseous 02 |
16,538 |
16,192 |
$142K |
| A7034 |
Nasal application device |
2,431 |
2,423 |
$94K |
| A4604 |
Tubing with heating element |
3,263 |
3,241 |
$81K |
| E0570 |
Nebulizer with compression |
17,279 |
17,194 |
$81K |
| E0601 |
Cont airway pressure device |
2,991 |
2,924 |
$63K |
| A7032 |
Replacement nasal cushion |
1,929 |
1,907 |
$60K |
| A7035 |
Pos airway press headgear |
3,711 |
3,689 |
$49K |
| A7033 |
Replacement nasal pillows |
1,557 |
1,542 |
$40K |
| A7038 |
Pos airway pressure filter |
10,783 |
10,635 |
$39K |
| K0738 |
Portable gas oxygen system |
2,909 |
2,878 |
$36K |
| A7037 |
Pos airway pressure tubing |
2,933 |
2,919 |
$31K |
| E0143 |
Walker folding wheeled w/o s |
951 |
931 |
$27K |
| A7046 |
Repl water chamber, pap dev |
3,024 |
3,005 |
$24K |
| E0562 |
Humidifier heated used w pap |
2,187 |
2,178 |
$14K |
| E1392 |
Portable oxygen concentrator |
1,053 |
1,039 |
$11K |
| A7005 |
Nondisposable nebulizer set |
1,713 |
1,709 |
$8K |
| K0001 |
Standard wheelchair |
1,006 |
1,001 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
123 |
123 |
$4K |
| E0443 |
Portable 02 contents, gas |
274 |
274 |
$4K |
| A7003 |
Nebulizer administration set |
2,708 |
2,623 |
$2K |
| E1038 |
Transport chair pt wt<=300lb |
166 |
166 |
$487.42 |
| A7013 |
Disposable compressor filter |
1,471 |
1,463 |
$384.37 |
| A7039 |
Filter, non disposable w pap |
37 |
37 |
$132.81 |
| A7015 |
Aerosol mask used w nebulize |
160 |
160 |
$82.19 |