| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,136 |
5,070 |
$205K |
| E0570 |
Nebulizer with compression |
1,803 |
1,404 |
$64K |
| E0601 |
Cont airway pressure device |
1,658 |
1,404 |
$37K |
| E0431 |
Portable gaseous 02 |
2,942 |
2,428 |
$22K |
| A7030 |
Cpap full face mask |
341 |
269 |
$10K |
| A7031 |
Replacement facemask interfa |
460 |
335 |
$7K |
| A4604 |
Tubing with heating element |
412 |
310 |
$6K |
| A7005 |
Nondisposable nebulizer set |
762 |
632 |
$5K |
| E0562 |
Humidifier heated used w pap |
270 |
218 |
$5K |
| A7038 |
Pos airway pressure filter |
1,595 |
1,331 |
$3K |
| A7035 |
Pos airway press headgear |
230 |
196 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
98 |
70 |
$2K |
| L3670 |
So acro/clav can web pre ots |
12 |
12 |
$1K |
| K0001 |
Standard wheelchair |
139 |
112 |
$810.14 |
| E0114 |
Crutch underarm pair no wood |
27 |
26 |
$765.84 |
| A7013 |
Disposable compressor filter |
577 |
448 |
$363.02 |
| A7037 |
Pos airway pressure tubing |
46 |
43 |
$244.22 |
| E0971 |
Wheelchair anti-tipping devi |
211 |
89 |
$178.95 |
| A7003 |
Nebulizer administration set |
404 |
337 |
$77.45 |
| A7015 |
Aerosol mask used w nebulize |
76 |
55 |
$55.85 |