| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,708 |
1,377 |
$47K |
| E0601 |
Cont airway pressure device |
1,236 |
779 |
$29K |
| A4604 |
Tubing with heating element |
767 |
701 |
$17K |
| A7030 |
Cpap full face mask |
166 |
154 |
$8K |
| E0562 |
Humidifier heated used w pap |
427 |
347 |
$7K |
| A7031 |
Replacement facemask interfa |
181 |
161 |
$4K |
| A7035 |
Pos airway press headgear |
303 |
278 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
193 |
131 |
$3K |
| E0431 |
Portable gaseous 02 |
342 |
299 |
$2K |
| A7034 |
Nasal application device |
59 |
51 |
$2K |
| A7038 |
Pos airway pressure filter |
1,066 |
861 |
$2K |
| A7046 |
Repl water chamber, pap dev |
158 |
144 |
$1K |
| E0570 |
Nebulizer with compression |
30 |
24 |
$204.00 |
| K0195 |
Elevating whlchair leg rests |
77 |
59 |
$76.78 |