| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,984 |
2,944 |
$221K |
| E0601 |
Cont airway pressure device |
2,528 |
2,493 |
$133K |
| E0470 |
Rad w/o backup non-inv intfc |
378 |
359 |
$44K |
| E0562 |
Humidifier heated used w pap |
2,256 |
2,246 |
$30K |
| E0431 |
Portable gaseous 02 |
1,939 |
1,925 |
$29K |
| A7038 |
Pos airway pressure filter |
1,187 |
1,155 |
$24K |
| A7034 |
Nasal application device |
509 |
486 |
$22K |
| E0570 |
Nebulizer with compression |
568 |
554 |
$22K |
| A7035 |
Pos airway press headgear |
970 |
922 |
$19K |
| A7037 |
Pos airway pressure tubing |
727 |
699 |
$15K |
| A7030 |
Cpap full face mask |
215 |
204 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
284 |
280 |
$8K |
| K0001 |
Standard wheelchair |
302 |
289 |
$3K |
| A7046 |
Repl water chamber, pap dev |
109 |
106 |
$699.30 |
| E0114 |
Crutch underarm pair no wood |
14 |
14 |
$422.13 |
| A4604 |
Tubing with heating element |
41 |
38 |
$265.55 |
| E0143 |
Walker folding wheeled w/o s |
14 |
12 |
$181.51 |