| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,135 |
10,373 |
$667K |
| E0466 |
Home vent non-invasive inter |
851 |
588 |
$356K |
| E0601 |
Cont airway pressure device |
2,157 |
1,612 |
$57K |
| E0431 |
Portable gaseous 02 |
6,310 |
4,643 |
$53K |
| E0570 |
Nebulizer with compression |
1,941 |
1,413 |
$18K |
| E0143 |
Walker folding wheeled w/o s |
268 |
232 |
$7K |
| K0003 |
Lightweight wheelchair |
279 |
212 |
$7K |
| A7037 |
Pos airway pressure tubing |
869 |
604 |
$4K |
| A7030 |
Cpap full face mask |
197 |
121 |
$3K |
| E0562 |
Humidifier heated used w pap |
250 |
189 |
$2K |
| A7038 |
Pos airway pressure filter |
1,024 |
691 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
56 |
38 |
$824.48 |
| A7031 |
Replacement facemask interfa |
133 |
93 |
$757.27 |
| A7035 |
Pos airway press headgear |
148 |
107 |
$621.98 |
| A7039 |
Filter, non disposable w pap |
44 |
24 |
$91.43 |
| A7003 |
Nebulizer administration set |
15 |
12 |
$12.38 |