| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,765 |
1,465 |
$76K |
| E0601 |
Cont airway pressure device |
2,719 |
2,357 |
$68K |
| E0562 |
Humidifier heated used w pap |
2,292 |
1,952 |
$29K |
| A7034 |
Nasal application device |
562 |
493 |
$23K |
| A7030 |
Cpap full face mask |
220 |
195 |
$14K |
| A7035 |
Pos airway press headgear |
905 |
799 |
$14K |
| E0431 |
Portable gaseous 02 |
970 |
863 |
$14K |
| A7037 |
Pos airway pressure tubing |
573 |
504 |
$11K |
| A7031 |
Replacement facemask interfa |
293 |
249 |
$6K |
| A7038 |
Pos airway pressure filter |
1,884 |
1,541 |
$6K |
| E0570 |
Nebulizer with compression |
666 |
588 |
$4K |
| A7046 |
Repl water chamber, pap dev |
217 |
194 |
$1K |
| A7032 |
Replacement nasal cushion |
110 |
92 |
$1K |
| E1392 |
Portable oxygen concentrator |
89 |
80 |
$1K |
| A4604 |
Tubing with heating element |
170 |
162 |
$1K |
| A7033 |
Replacement nasal pillows |
48 |
40 |
$764.10 |
| K0001 |
Standard wheelchair |
13 |
12 |
$79.83 |