| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
256 |
208 |
$32K |
| E0601 |
Cont airway pressure device |
264 |
233 |
$18K |
| E0570 |
Nebulizer with compression |
200 |
198 |
$11K |
| E0424 |
Stationary compressed gas 02 |
50 |
49 |
$9K |
| E0562 |
Humidifier heated used w pap |
295 |
251 |
$8K |
| A7030 |
Cpap full face mask |
68 |
65 |
$7K |
| E0431 |
Portable gaseous 02 |
142 |
106 |
$5K |
| A7034 |
Nasal application device |
60 |
57 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
18 |
16 |
$3K |
| K0738 |
Portable gas oxygen system |
76 |
66 |
$3K |
| A7005 |
Nondisposable nebulizer set |
115 |
111 |
$3K |
| A7035 |
Pos airway press headgear |
94 |
92 |
$3K |
| K0001 |
Standard wheelchair |
71 |
65 |
$2K |
| A7037 |
Pos airway pressure tubing |
99 |
96 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
40 |
32 |
$1K |
| A7038 |
Pos airway pressure filter |
106 |
104 |
$935.13 |
| A7015 |
Aerosol mask used w nebulize |
71 |
68 |
$154.08 |