| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,025 |
7,243 |
$341K |
| E0431 |
Portable gaseous 02 |
7,793 |
5,730 |
$54K |
| E0601 |
Cont airway pressure device |
1,022 |
766 |
$27K |
| K0001 |
Standard wheelchair |
871 |
626 |
$8K |
| E0570 |
Nebulizer with compression |
786 |
556 |
$7K |
| E0143 |
Walker folding wheeled w/o s |
282 |
214 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
372 |
255 |
$7K |
| E0163 |
Commode chair with fixed arm |
194 |
141 |
$3K |
| E1392 |
Portable oxygen concentrator |
66 |
58 |
$1K |
| A7038 |
Pos airway pressure filter |
420 |
294 |
$602.09 |
| A7030 |
Cpap full face mask |
19 |
15 |
$512.51 |
| E0562 |
Humidifier heated used w pap |
22 |
14 |
$356.22 |
| A7037 |
Pos airway pressure tubing |
78 |
51 |
$247.74 |
| A7035 |
Pos airway press headgear |
51 |
38 |
$159.74 |
| A7031 |
Replacement facemask interfa |
16 |
13 |
$142.02 |