| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,703 |
2,286 |
$136K |
| E0601 |
Cont airway pressure device |
1,612 |
1,398 |
$51K |
| A7030 |
Cpap full face mask |
258 |
228 |
$22K |
| E0562 |
Humidifier heated used w pap |
1,242 |
1,062 |
$18K |
| E0431 |
Portable gaseous 02 |
1,374 |
1,209 |
$16K |
| A7035 |
Pos airway press headgear |
797 |
718 |
$14K |
| A7037 |
Pos airway pressure tubing |
769 |
688 |
$13K |
| E0570 |
Nebulizer with compression |
874 |
775 |
$9K |
| A7031 |
Replacement facemask interfa |
185 |
166 |
$6K |
| A7038 |
Pos airway pressure filter |
1,343 |
1,200 |
$6K |
| A7039 |
Filter, non disposable w pap |
168 |
156 |
$795.41 |
| K0001 |
Standard wheelchair |
39 |
36 |
$276.40 |
| A7003 |
Nebulizer administration set |
14 |
14 |
$20.20 |