| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,777 |
9,891 |
$791K |
| E0431 |
Portable gaseous 02 |
6,119 |
5,606 |
$98K |
| E0601 |
Cont airway pressure device |
1,521 |
1,500 |
$81K |
| K0738 |
Portable gas oxygen system |
1,556 |
1,429 |
$43K |
| E0424 |
Stationary compressed gas 02 |
286 |
253 |
$26K |
| A7030 |
Cpap full face mask |
120 |
112 |
$10K |
| E0470 |
Rad w/o backup non-inv intfc |
73 |
67 |
$8K |
| A7038 |
Pos airway pressure filter |
507 |
479 |
$5K |
| A7035 |
Pos airway press headgear |
149 |
138 |
$3K |
| K0001 |
Standard wheelchair |
80 |
76 |
$1K |
| E1392 |
Portable oxygen concentrator |
106 |
103 |
$1K |
| A7037 |
Pos airway pressure tubing |
66 |
63 |
$943.62 |
| A7031 |
Replacement facemask interfa |
13 |
12 |
$798.59 |
| E0570 |
Nebulizer with compression |
14 |
12 |
$121.33 |