| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,346 |
10,027 |
$211K |
| E0601 |
Cont airway pressure device |
4,006 |
3,476 |
$52K |
| A7030 |
Cpap full face mask |
1,743 |
1,504 |
$41K |
| A7031 |
Replacement facemask interfa |
3,382 |
2,864 |
$40K |
| E0431 |
Portable gaseous 02 |
6,207 |
5,534 |
$25K |
| A4604 |
Tubing with heating element |
1,815 |
1,607 |
$18K |
| A7032 |
Replacement nasal cushion |
1,005 |
821 |
$15K |
| A7034 |
Nasal application device |
807 |
708 |
$13K |
| E1392 |
Portable oxygen concentrator |
1,757 |
1,588 |
$13K |
| E0562 |
Humidifier heated used w pap |
629 |
553 |
$12K |
| E0470 |
Rad w/o backup non-inv intfc |
282 |
230 |
$10K |
| E0570 |
Nebulizer with compression |
3,772 |
3,414 |
$9K |
| A7035 |
Pos airway press headgear |
1,539 |
1,324 |
$8K |
| A7038 |
Pos airway pressure filter |
4,243 |
3,635 |
$6K |
| K0001 |
Standard wheelchair |
1,343 |
1,133 |
$5K |
| A7033 |
Replacement nasal pillows |
305 |
261 |
$4K |
| A7037 |
Pos airway pressure tubing |
699 |
603 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
218 |
209 |
$2K |
| E0261 |
Hosp bed semi-electr w/o mat |
215 |
203 |
$2K |
| A7039 |
Filter, non disposable w pap |
70 |
68 |
$180.98 |