| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,336 |
9,696 |
$538K |
| E0601 |
Cont airway pressure device |
4,687 |
3,836 |
$158K |
| E0431 |
Portable gaseous 02 |
6,056 |
4,836 |
$44K |
| E0570 |
Nebulizer with compression |
2,457 |
1,976 |
$23K |
| E1392 |
Portable oxygen concentrator |
3,026 |
2,311 |
$15K |
| E0562 |
Humidifier heated used w pap |
2,625 |
2,315 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
516 |
409 |
$7K |
| K0001 |
Standard wheelchair |
475 |
355 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
62 |
49 |
$3K |
| A7005 |
Nondisposable nebulizer set |
92 |
83 |
$2K |
| A7038 |
Pos airway pressure filter |
2,669 |
2,072 |
$1K |
| A4604 |
Tubing with heating element |
1,758 |
1,352 |
$605.57 |
| A7030 |
Cpap full face mask |
460 |
368 |
$435.99 |
| A7034 |
Nasal application device |
924 |
725 |
$301.65 |
| A7032 |
Replacement nasal cushion |
306 |
243 |
$293.13 |
| A7031 |
Replacement facemask interfa |
634 |
499 |
$244.37 |
| A7035 |
Pos airway press headgear |
714 |
559 |
$122.83 |
| A7033 |
Replacement nasal pillows |
146 |
114 |
$69.15 |
| A7046 |
Repl water chamber, pap dev |
233 |
184 |
$18.35 |