| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,921 |
6,940 |
$240K |
| A7030 |
Cpap full face mask |
1,401 |
1,261 |
$74K |
| E0601 |
Cont airway pressure device |
3,089 |
2,292 |
$56K |
| A7031 |
Replacement facemask interfa |
1,780 |
1,593 |
$33K |
| E0431 |
Portable gaseous 02 |
5,800 |
4,613 |
$32K |
| E0570 |
Nebulizer with compression |
3,177 |
2,639 |
$26K |
| A4604 |
Tubing with heating element |
848 |
770 |
$25K |
| E0562 |
Humidifier heated used w pap |
3,713 |
2,671 |
$20K |
| A7035 |
Pos airway press headgear |
1,675 |
1,501 |
$20K |
| K0001 |
Standard wheelchair |
1,820 |
1,540 |
$16K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,159 |
944 |
$16K |
| A7034 |
Nasal application device |
378 |
334 |
$13K |
| A7037 |
Pos airway pressure tubing |
1,646 |
1,460 |
$11K |
| A7046 |
Repl water chamber, pap dev |
1,216 |
1,097 |
$10K |
| A7038 |
Pos airway pressure filter |
4,936 |
4,388 |
$7K |
| A7032 |
Replacement nasal cushion |
203 |
181 |
$3K |
| E1392 |
Portable oxygen concentrator |
384 |
310 |
$3K |
| A7003 |
Nebulizer administration set |
543 |
445 |
$631.93 |
| E0630 |
Patient lift hydraulic |
13 |
12 |
$126.17 |