| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,238 |
4,259 |
$244K |
| E0601 |
Cont airway pressure device |
4,467 |
3,952 |
$178K |
| E0431 |
Portable gaseous 02 |
2,910 |
2,496 |
$92K |
| E0470 |
Rad w/o backup non-inv intfc |
1,010 |
836 |
$91K |
| E0562 |
Humidifier heated used w pap |
2,456 |
2,306 |
$29K |
| A7030 |
Cpap full face mask |
227 |
193 |
$11K |
| K0001 |
Standard wheelchair |
485 |
420 |
$8K |
| E0570 |
Nebulizer with compression |
173 |
172 |
$8K |
| A7037 |
Pos airway pressure tubing |
790 |
666 |
$8K |
| A7034 |
Nasal application device |
222 |
185 |
$6K |
| A7038 |
Pos airway pressure filter |
756 |
638 |
$5K |
| A7035 |
Pos airway press headgear |
498 |
418 |
$4K |
| A7031 |
Replacement facemask interfa |
142 |
122 |
$3K |
| E1392 |
Portable oxygen concentrator |
318 |
286 |
$2K |
| A7046 |
Repl water chamber, pap dev |
131 |
114 |
$714.85 |
| A7005 |
Nondisposable nebulizer set |
33 |
33 |
$430.62 |
| E0260 |
Hosp bed semi-electr w/ matt |
28 |
24 |
$255.99 |
| K0003 |
Lightweight wheelchair |
34 |
24 |
$228.36 |
| A7013 |
Disposable compressor filter |
32 |
32 |
$105.27 |
| A7003 |
Nebulizer administration set |
32 |
32 |
$2.72 |