| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,955 |
2,740 |
$140K |
| E0601 |
Cont airway pressure device |
3,157 |
2,193 |
$67K |
| A7030 |
Cpap full face mask |
663 |
478 |
$30K |
| E0562 |
Humidifier heated used w pap |
1,874 |
1,354 |
$28K |
| A4604 |
Tubing with heating element |
1,669 |
1,237 |
$25K |
| E0570 |
Nebulizer with compression |
1,635 |
1,074 |
$9K |
| A7031 |
Replacement facemask interfa |
270 |
202 |
$7K |
| E0431 |
Portable gaseous 02 |
622 |
494 |
$7K |
| A7035 |
Pos airway press headgear |
682 |
521 |
$7K |
| A7038 |
Pos airway pressure filter |
1,801 |
1,338 |
$6K |
| A7046 |
Repl water chamber, pap dev |
363 |
286 |
$2K |
| A7034 |
Nasal application device |
54 |
37 |
$1K |
| E1392 |
Portable oxygen concentrator |
506 |
289 |
$675.34 |
| K0003 |
Lightweight wheelchair |
35 |
24 |
$385.39 |