| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,080 |
6,259 |
$688K |
| E0601 |
Cont airway pressure device |
3,188 |
2,811 |
$159K |
| A7030 |
Cpap full face mask |
891 |
820 |
$84K |
| E0431 |
Portable gaseous 02 |
3,834 |
3,437 |
$70K |
| E0562 |
Humidifier heated used w pap |
2,316 |
2,110 |
$59K |
| A4604 |
Tubing with heating element |
1,881 |
1,711 |
$58K |
| K0001 |
Standard wheelchair |
2,053 |
1,904 |
$51K |
| E1392 |
Portable oxygen concentrator |
2,199 |
1,942 |
$40K |
| E0143 |
Walker folding wheeled w/o s |
547 |
528 |
$39K |
| E0570 |
Nebulizer with compression |
2,032 |
1,827 |
$39K |
| A7035 |
Pos airway press headgear |
1,533 |
1,403 |
$37K |
| E0260 |
Hosp bed semi-electr w/ matt |
727 |
698 |
$32K |
| A7034 |
Nasal application device |
385 |
358 |
$27K |
| A7038 |
Pos airway pressure filter |
2,807 |
2,592 |
$17K |
| E0114 |
Crutch underarm pair no wood |
382 |
358 |
$13K |
| A7046 |
Repl water chamber, pap dev |
1,042 |
966 |
$12K |
| A7031 |
Replacement facemask interfa |
216 |
202 |
$7K |
| A7039 |
Filter, non disposable w pap |
568 |
507 |
$4K |
| A7005 |
Nondisposable nebulizer set |
178 |
149 |
$3K |
| L4361 |
Pneuma/vac walk boot pre ots |
29 |
29 |
$3K |
| A7033 |
Replacement nasal pillows |
34 |
28 |
$1K |