| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,860 |
1,840 |
$157K |
| B4150 |
Ef complet w/intact nutrient |
1,509 |
1,483 |
$107K |
| E0601 |
Cont airway pressure device |
924 |
907 |
$54K |
| A7030 |
Cpap full face mask |
501 |
491 |
$40K |
| E0431 |
Portable gaseous 02 |
1,186 |
1,150 |
$22K |
| A7034 |
Nasal application device |
371 |
364 |
$21K |
| A7037 |
Pos airway pressure tubing |
538 |
527 |
$17K |
| E0570 |
Nebulizer with compression |
271 |
264 |
$16K |
| A7035 |
Pos airway press headgear |
558 |
552 |
$13K |
| K0001 |
Standard wheelchair |
383 |
383 |
$9K |
| A7031 |
Replacement facemask interfa |
256 |
245 |
$8K |
| E0561 |
Humidifier nonheated w pap |
911 |
885 |
$8K |
| A7038 |
Pos airway pressure filter |
1,420 |
1,371 |
$7K |
| E0603 |
Electric breast pump |
31 |
31 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
171 |
171 |
$3K |
| A7046 |
Repl water chamber, pap dev |
296 |
295 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
16 |
12 |
$1K |
| A4604 |
Tubing with heating element |
108 |
108 |
$1K |
| K0738 |
Portable gas oxygen system |
39 |
38 |
$301.68 |
| A7033 |
Replacement nasal pillows |
14 |
13 |
$262.14 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$191.45 |