| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,084 |
1,937 |
$150K |
| E0601 |
Cont airway pressure device |
1,942 |
1,805 |
$128K |
| E0570 |
Nebulizer with compression |
467 |
411 |
$35K |
| E0562 |
Humidifier heated used w pap |
1,222 |
1,149 |
$24K |
| E0431 |
Portable gaseous 02 |
1,452 |
1,355 |
$20K |
| A7030 |
Cpap full face mask |
136 |
126 |
$14K |
| A7035 |
Pos airway press headgear |
707 |
653 |
$14K |
| A7038 |
Pos airway pressure filter |
1,640 |
1,517 |
$9K |
| A7031 |
Replacement facemask interfa |
105 |
93 |
$4K |
| E0114 |
Crutch underarm pair no wood |
64 |
64 |
$2K |
| A7037 |
Pos airway pressure tubing |
876 |
801 |
$2K |
| A7005 |
Nondisposable nebulizer set |
87 |
83 |
$2K |
| A7039 |
Filter, non disposable w pap |
27 |
26 |
$246.85 |
| A7015 |
Aerosol mask used w nebulize |
17 |
16 |
$27.12 |