| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,997 |
12,662 |
$353K |
| E0431 |
Portable gaseous 02 |
6,891 |
5,948 |
$32K |
| E0601 |
Cont airway pressure device |
939 |
799 |
$13K |
| A7030 |
Cpap full face mask |
295 |
251 |
$8K |
| E0570 |
Nebulizer with compression |
1,908 |
1,610 |
$6K |
| E0261 |
Hosp bed semi-electr w/o mat |
184 |
151 |
$4K |
| E1392 |
Portable oxygen concentrator |
571 |
437 |
$3K |
| A7038 |
Pos airway pressure filter |
1,707 |
1,437 |
$3K |
| E0562 |
Humidifier heated used w pap |
585 |
491 |
$3K |
| A7037 |
Pos airway pressure tubing |
556 |
466 |
$3K |
| A7031 |
Replacement facemask interfa |
188 |
156 |
$2K |
| A7035 |
Pos airway press headgear |
215 |
179 |
$1K |
| K0001 |
Standard wheelchair |
198 |
144 |
$1K |
| A7039 |
Filter, non disposable w pap |
48 |
41 |
$110.78 |