| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,011 |
7,530 |
$307K |
| A7030 |
Cpap full face mask |
1,171 |
1,146 |
$51K |
| A7031 |
Replacement facemask interfa |
1,771 |
1,728 |
$50K |
| E0601 |
Cont airway pressure device |
1,829 |
1,796 |
$48K |
| E0431 |
Portable gaseous 02 |
4,135 |
3,871 |
$30K |
| E0562 |
Humidifier heated used w pap |
1,185 |
1,170 |
$16K |
| A7037 |
Pos airway pressure tubing |
2,036 |
1,986 |
$15K |
| A7034 |
Nasal application device |
433 |
419 |
$11K |
| A7038 |
Pos airway pressure filter |
3,143 |
3,048 |
$11K |
| A7035 |
Pos airway press headgear |
1,219 |
1,194 |
$11K |
| E0570 |
Nebulizer with compression |
2,014 |
1,911 |
$11K |
| A7032 |
Replacement nasal cushion |
180 |
172 |
$8K |
| E1392 |
Portable oxygen concentrator |
610 |
557 |
$4K |
| A7046 |
Repl water chamber, pap dev |
599 |
583 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
38 |
37 |
$2K |
| A7039 |
Filter, non disposable w pap |
184 |
177 |
$573.20 |
| A7033 |
Replacement nasal pillows |
39 |
37 |
$234.67 |
| A7005 |
Nondisposable nebulizer set |
31 |
26 |
$232.18 |
| A7003 |
Nebulizer administration set |
178 |
157 |
$130.82 |
| K0001 |
Standard wheelchair |
12 |
12 |
$74.19 |