| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,984 |
7,030 |
$421K |
| E0431 |
Portable gaseous 02 |
7,744 |
4,965 |
$54K |
| E0601 |
Cont airway pressure device |
2,136 |
1,331 |
$49K |
| A7030 |
Cpap full face mask |
1,060 |
638 |
$44K |
| A7031 |
Replacement facemask interfa |
1,436 |
908 |
$38K |
| E0570 |
Nebulizer with compression |
3,091 |
2,041 |
$21K |
| A7037 |
Pos airway pressure tubing |
1,002 |
627 |
$9K |
| A7038 |
Pos airway pressure filter |
2,449 |
1,645 |
$9K |
| A7035 |
Pos airway press headgear |
710 |
435 |
$6K |
| K0001 |
Standard wheelchair |
328 |
223 |
$3K |
| E0562 |
Humidifier heated used w pap |
371 |
255 |
$3K |
| A4604 |
Tubing with heating element |
36 |
26 |
$521.64 |
| A7005 |
Nondisposable nebulizer set |
20 |
14 |
$304.75 |
| A7046 |
Repl water chamber, pap dev |
111 |
66 |
$251.33 |