| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,286 |
2,190 |
$126K |
| E0570 |
Nebulizer with compression |
2,374 |
2,351 |
$59K |
| E0601 |
Cont airway pressure device |
589 |
577 |
$56K |
| E0431 |
Portable gaseous 02 |
1,390 |
1,350 |
$18K |
| K0001 |
Standard wheelchair |
619 |
610 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
368 |
365 |
$6K |
| A7035 |
Pos airway press headgear |
580 |
563 |
$6K |
| A7037 |
Pos airway pressure tubing |
812 |
793 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
126 |
126 |
$5K |
| E0562 |
Humidifier heated used w pap |
65 |
64 |
$5K |
| A7034 |
Nasal application device |
133 |
129 |
$3K |
| A7030 |
Cpap full face mask |
62 |
56 |
$3K |
| A7038 |
Pos airway pressure filter |
1,194 |
1,176 |
$2K |
| A7003 |
Nebulizer administration set |
687 |
675 |
$2K |
| A7031 |
Replacement facemask interfa |
17 |
15 |
$497.43 |
| E1392 |
Portable oxygen concentrator |
26 |
25 |
$194.80 |
| E0149 |
Heavy duty wheeled walker |
12 |
12 |
$157.51 |
| A7046 |
Repl water chamber, pap dev |
13 |
13 |
$86.41 |