| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,895 |
8,276 |
$299K |
| E0431 |
Portable gaseous 02 |
2,545 |
2,391 |
$73K |
| E0601 |
Cont airway pressure device |
2,317 |
2,133 |
$49K |
| A7030 |
Cpap full face mask |
372 |
360 |
$18K |
| K0738 |
Portable gas oxygen system |
517 |
477 |
$17K |
| E0466 |
Home vent non-invasive inter |
27 |
26 |
$10K |
| E1392 |
Portable oxygen concentrator |
1,117 |
1,066 |
$9K |
| A7035 |
Pos airway press headgear |
538 |
522 |
$7K |
| A7031 |
Replacement facemask interfa |
258 |
251 |
$6K |
| A7038 |
Pos airway pressure filter |
1,255 |
1,205 |
$6K |
| E0570 |
Nebulizer with compression |
730 |
689 |
$4K |
| A7037 |
Pos airway pressure tubing |
271 |
262 |
$3K |
| K0001 |
Standard wheelchair |
307 |
233 |
$3K |
| A4604 |
Tubing with heating element |
125 |
121 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
62 |
61 |
$1K |
| A7046 |
Repl water chamber, pap dev |
141 |
135 |
$1K |
| A7034 |
Nasal application device |
16 |
16 |
$495.57 |