| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,132 |
12,643 |
$603K |
| E0466 |
Home vent non-invasive inter |
637 |
593 |
$325K |
| E0431 |
Portable gaseous 02 |
11,023 |
10,675 |
$116K |
| E2402 |
Neg press wound therapy pump |
39 |
39 |
$24K |
| E0601 |
Cont airway pressure device |
559 |
545 |
$16K |
| E0562 |
Humidifier heated used w pap |
676 |
653 |
$6K |
| A6550 |
Neg pres wound ther drsg set |
15 |
12 |
$4K |
| E1392 |
Portable oxygen concentrator |
1,156 |
1,100 |
$2K |
| A9279 |
Monitoring feature/devicenoc |
217 |
207 |
$1K |
| E0261 |
Hosp bed semi-electr w/o mat |
221 |
221 |
$906.23 |
| K0001 |
Standard wheelchair |
207 |
207 |
$899.85 |
| A7000 |
Disposable canister for pump |
14 |
13 |
$823.96 |
| A7038 |
Pos airway pressure filter |
126 |
120 |
$360.21 |
| E0570 |
Nebulizer with compression |
109 |
98 |
$286.08 |
| A7037 |
Pos airway pressure tubing |
15 |
15 |
$180.44 |