| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,382 |
7,568 |
$411K |
| E0431 |
Portable gaseous 02 |
7,769 |
5,092 |
$56K |
| A7031 |
Replacement facemask interfa |
740 |
565 |
$28K |
| A7030 |
Cpap full face mask |
520 |
374 |
$24K |
| E0601 |
Cont airway pressure device |
302 |
219 |
$10K |
| A7038 |
Pos airway pressure filter |
2,234 |
1,708 |
$10K |
| E0562 |
Humidifier heated used w pap |
809 |
547 |
$7K |
| E0570 |
Nebulizer with compression |
1,492 |
1,038 |
$6K |
| A7037 |
Pos airway pressure tubing |
644 |
444 |
$5K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
32 |
26 |
$4K |
| A7034 |
Nasal application device |
95 |
77 |
$4K |
| A7035 |
Pos airway press headgear |
313 |
234 |
$3K |
| K0001 |
Standard wheelchair |
232 |
185 |
$1K |
| A7046 |
Repl water chamber, pap dev |
198 |
145 |
$744.91 |