| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,332 |
3,819 |
$397K |
| E0570 |
Nebulizer with compression |
1,419 |
1,298 |
$76K |
| E0601 |
Cont airway pressure device |
854 |
741 |
$73K |
| A7031 |
Replacement facemask interfa |
741 |
671 |
$53K |
| A7030 |
Cpap full face mask |
427 |
388 |
$49K |
| K0738 |
Portable gas oxygen system |
1,882 |
1,720 |
$47K |
| A7038 |
Pos airway pressure filter |
1,218 |
1,074 |
$22K |
| A7035 |
Pos airway press headgear |
569 |
518 |
$14K |
| A7005 |
Nondisposable nebulizer set |
513 |
493 |
$12K |
| L3908 |
Who cock-up nonmolde pre ots |
267 |
235 |
$11K |
| A7034 |
Nasal application device |
151 |
144 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
38 |
37 |
$7K |
| E0114 |
Crutch underarm pair no wood |
92 |
91 |
$3K |
| L1902 |
Afo ankle gauntlet pre ots |
53 |
50 |
$3K |
| A7032 |
Replacement nasal cushion |
42 |
39 |
$3K |
| A7037 |
Pos airway pressure tubing |
229 |
219 |
$905.57 |
| A4604 |
Tubing with heating element |
324 |
285 |
$854.46 |
| E0260 |
Hosp bed semi-electr w/ matt |
30 |
24 |
$785.43 |
| A7046 |
Repl water chamber, pap dev |
47 |
43 |
$674.84 |
| E0431 |
Portable gaseous 02 |
14 |
12 |
$339.61 |
| E0971 |
Wheelchair anti-tipping devi |
128 |
55 |
$287.02 |
| E0978 |
W/c acc,saf belt pelv strap |
44 |
40 |
$88.15 |