| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,679 |
3,152 |
$190K |
| E1390 |
Oxygen concentrator |
2,806 |
2,254 |
$141K |
| E0570 |
Nebulizer with compression |
3,078 |
2,456 |
$58K |
| K0001 |
Standard wheelchair |
2,898 |
2,447 |
$34K |
| A7030 |
Cpap full face mask |
457 |
381 |
$33K |
| E0562 |
Humidifier heated used w pap |
631 |
509 |
$22K |
| E0431 |
Portable gaseous 02 |
2,540 |
2,025 |
$15K |
| A7037 |
Pos airway pressure tubing |
764 |
639 |
$15K |
| A7035 |
Pos airway press headgear |
881 |
745 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
340 |
289 |
$13K |
| E0443 |
Portable 02 contents, gas |
800 |
594 |
$12K |
| A7031 |
Replacement facemask interfa |
386 |
323 |
$10K |
| A7038 |
Pos airway pressure filter |
1,781 |
1,330 |
$9K |
| K0195 |
Elevating whlchair leg rests |
439 |
358 |
$8K |
| A7005 |
Nondisposable nebulizer set |
667 |
500 |
$8K |
| A7003 |
Nebulizer administration set |
1,012 |
897 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,503 |
1,280 |
$1K |
| A7039 |
Filter, non disposable w pap |
186 |
153 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
13 |
13 |
$607.41 |