| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,602 |
9,873 |
$264K |
| E0431 |
Portable gaseous 02 |
8,658 |
6,571 |
$42K |
| A7030 |
Cpap full face mask |
653 |
599 |
$30K |
| A7031 |
Replacement facemask interfa |
984 |
908 |
$18K |
| E0601 |
Cont airway pressure device |
1,114 |
712 |
$15K |
| E0570 |
Nebulizer with compression |
2,896 |
2,052 |
$9K |
| A7035 |
Pos airway press headgear |
829 |
752 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,112 |
992 |
$7K |
| E0562 |
Humidifier heated used w pap |
1,587 |
1,070 |
$6K |
| A7038 |
Pos airway pressure filter |
3,427 |
3,067 |
$5K |
| A7046 |
Repl water chamber, pap dev |
595 |
526 |
$4K |
| A4604 |
Tubing with heating element |
84 |
78 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
68 |
52 |
$1K |
| E1392 |
Portable oxygen concentrator |
89 |
76 |
$634.85 |
| A7034 |
Nasal application device |
16 |
14 |
$434.06 |
| K0003 |
Lightweight wheelchair |
43 |
37 |
$349.09 |
| E0443 |
Portable 02 contents, gas |
18 |
12 |
$56.22 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$47.89 |
| A7003 |
Nebulizer administration set |
19 |
14 |
$10.64 |