| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,964 |
3,051 |
$153K |
| E0601 |
Cont airway pressure device |
1,995 |
1,823 |
$80K |
| E0431 |
Portable gaseous 02 |
1,761 |
1,565 |
$35K |
| E0470 |
Rad w/o backup non-inv intfc |
103 |
98 |
$16K |
| E0562 |
Humidifier heated used w pap |
698 |
665 |
$12K |
| K0001 |
Standard wheelchair |
462 |
401 |
$7K |
| A7038 |
Pos airway pressure filter |
380 |
323 |
$2K |
| A7037 |
Pos airway pressure tubing |
104 |
89 |
$828.19 |
| A7035 |
Pos airway press headgear |
95 |
79 |
$802.22 |
| A7034 |
Nasal application device |
27 |
25 |
$583.31 |
| E1392 |
Portable oxygen concentrator |
124 |
105 |
$219.72 |
| A7046 |
Repl water chamber, pap dev |
16 |
13 |
$84.63 |