| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,558 |
11,987 |
$617K |
| E0431 |
Portable gaseous 02 |
7,133 |
6,867 |
$102K |
| E1392 |
Portable oxygen concentrator |
1,816 |
1,740 |
$21K |
| E0466 |
Home vent non-invasive inter |
116 |
115 |
$10K |
| E0601 |
Cont airway pressure device |
225 |
199 |
$7K |
| E0570 |
Nebulizer with compression |
1,999 |
1,869 |
$7K |
| E0443 |
Portable 02 contents, gas |
195 |
176 |
$6K |
| A7031 |
Replacement facemask interfa |
85 |
81 |
$4K |
| A7037 |
Pos airway pressure tubing |
143 |
141 |
$3K |
| A7038 |
Pos airway pressure filter |
436 |
425 |
$3K |
| A7030 |
Cpap full face mask |
43 |
43 |
$2K |
| A7034 |
Nasal application device |
27 |
26 |
$2K |
| E0562 |
Humidifier heated used w pap |
87 |
66 |
$1K |
| A7035 |
Pos airway press headgear |
61 |
60 |
$1K |
| K0001 |
Standard wheelchair |
71 |
64 |
$994.04 |
| A7003 |
Nebulizer administration set |
756 |
672 |
$768.16 |
| E0143 |
Walker folding wheeled w/o s |
33 |
29 |
$613.98 |
| A7005 |
Nondisposable nebulizer set |
163 |
160 |
$605.03 |
| E0260 |
Hosp bed semi-electr w/ matt |
27 |
24 |
$458.97 |