| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,267 |
21,719 |
$611K |
| E0431 |
Portable gaseous 02 |
10,540 |
9,375 |
$65K |
| A7031 |
Replacement facemask interfa |
2,589 |
2,405 |
$47K |
| A7030 |
Cpap full face mask |
1,482 |
1,392 |
$47K |
| E0601 |
Cont airway pressure device |
1,540 |
1,375 |
$25K |
| E1392 |
Portable oxygen concentrator |
2,360 |
2,189 |
$15K |
| E0570 |
Nebulizer with compression |
2,779 |
2,618 |
$10K |
| A7037 |
Pos airway pressure tubing |
2,191 |
2,060 |
$10K |
| A7038 |
Pos airway pressure filter |
4,241 |
3,954 |
$9K |
| E0562 |
Humidifier heated used w pap |
1,466 |
1,326 |
$8K |
| A7035 |
Pos airway press headgear |
1,242 |
1,172 |
$8K |
| A7034 |
Nasal application device |
359 |
343 |
$6K |
| A7046 |
Repl water chamber, pap dev |
939 |
886 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
244 |
238 |
$4K |
| A7032 |
Replacement nasal cushion |
217 |
207 |
$3K |
| E0443 |
Portable 02 contents, gas |
465 |
447 |
$2K |
| A7003 |
Nebulizer administration set |
2,357 |
2,133 |
$1K |
| K0001 |
Standard wheelchair |
98 |
95 |
$646.69 |
| A7005 |
Nondisposable nebulizer set |
69 |
68 |
$98.80 |