| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,965 |
5,731 |
$288K |
| A7030 |
Cpap full face mask |
1,243 |
968 |
$48K |
| E0431 |
Portable gaseous 02 |
6,196 |
4,560 |
$47K |
| A7031 |
Replacement facemask interfa |
1,563 |
1,233 |
$42K |
| E0601 |
Cont airway pressure device |
1,355 |
950 |
$34K |
| A7037 |
Pos airway pressure tubing |
1,826 |
1,400 |
$14K |
| A7038 |
Pos airway pressure filter |
3,070 |
2,470 |
$13K |
| E0570 |
Nebulizer with compression |
1,866 |
1,386 |
$11K |
| E0562 |
Humidifier heated used w pap |
548 |
394 |
$8K |
| A7035 |
Pos airway press headgear |
792 |
626 |
$7K |
| A7034 |
Nasal application device |
190 |
163 |
$6K |
| K0001 |
Standard wheelchair |
451 |
353 |
$4K |
| A7046 |
Repl water chamber, pap dev |
477 |
396 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
13 |
12 |
$218.16 |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$113.07 |