| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,527 |
8,727 |
$659K |
| E0431 |
Portable gaseous 02 |
6,528 |
5,983 |
$74K |
| E0443 |
Portable 02 contents, gas |
705 |
685 |
$18K |
| E0601 |
Cont airway pressure device |
518 |
475 |
$12K |
| A7031 |
Replacement facemask interfa |
311 |
279 |
$12K |
| E0466 |
Home vent non-invasive inter |
26 |
25 |
$10K |
| A7038 |
Pos airway pressure filter |
747 |
680 |
$3K |
| A7030 |
Cpap full face mask |
59 |
53 |
$2K |
| E0570 |
Nebulizer with compression |
535 |
494 |
$1K |
| K0001 |
Standard wheelchair |
12 |
12 |
$291.23 |
| A7035 |
Pos airway press headgear |
13 |
13 |
$175.35 |
| A7003 |
Nebulizer administration set |
41 |
40 |
$83.73 |