| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,693 |
11,573 |
$168K |
| E0466 |
Home vent non-invasive inter |
1,269 |
1,268 |
$149K |
| E0431 |
Portable gaseous 02 |
3,896 |
3,820 |
$22K |
| E0601 |
Cont airway pressure device |
250 |
246 |
$6K |
| E0562 |
Humidifier heated used w pap |
266 |
263 |
$4K |
| E0570 |
Nebulizer with compression |
1,793 |
1,779 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
293 |
293 |
$3K |
| K0001 |
Standard wheelchair |
433 |
433 |
$2K |
| A7038 |
Pos airway pressure filter |
277 |
276 |
$569.83 |
| E0443 |
Portable 02 contents, gas |
53 |
53 |
$167.19 |
| A7003 |
Nebulizer administration set |
106 |
102 |
$35.85 |
| E0483 |
Hi freq chest wall oscil sys |
26 |
26 |
$0.00 |
| E1392 |
Portable oxygen concentrator |
46 |
46 |
$0.00 |