| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,994 |
1,938 |
$153K |
| E0601 |
Cont airway pressure device |
1,825 |
1,710 |
$93K |
| E0570 |
Nebulizer with compression |
973 |
958 |
$33K |
| E0562 |
Humidifier heated used w pap |
1,957 |
1,837 |
$21K |
| E0431 |
Portable gaseous 02 |
1,377 |
1,340 |
$17K |
| A7035 |
Pos airway press headgear |
614 |
612 |
$13K |
| A7030 |
Cpap full face mask |
159 |
158 |
$12K |
| E0603 |
Electric breast pump |
84 |
84 |
$11K |
| A7037 |
Pos airway pressure tubing |
364 |
364 |
$9K |
| A7034 |
Nasal application device |
143 |
141 |
$7K |
| K0001 |
Standard wheelchair |
236 |
234 |
$6K |
| A7038 |
Pos airway pressure filter |
828 |
823 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
62 |
62 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
26 |
26 |
$1K |
| A7003 |
Nebulizer administration set |
305 |
303 |
$753.33 |
| A7046 |
Repl water chamber, pap dev |
123 |
121 |
$497.98 |
| A4604 |
Tubing with heating element |
14 |
13 |
$101.55 |