| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,759 |
1,732 |
$79K |
| K0738 |
Portable gas oxygen system |
711 |
710 |
$39K |
| E0431 |
Portable gaseous 02 |
287 |
277 |
$10K |
| E0601 |
Cont airway pressure device |
541 |
534 |
$9K |
| E0570 |
Nebulizer with compression |
377 |
376 |
$9K |
| E0562 |
Humidifier heated used w pap |
90 |
88 |
$3K |
| K0001 |
Standard wheelchair |
232 |
222 |
$2K |
| A7035 |
Pos airway press headgear |
152 |
144 |
$2K |
| A7037 |
Pos airway pressure tubing |
164 |
156 |
$2K |
| A7038 |
Pos airway pressure filter |
241 |
233 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
24 |
24 |
$982.72 |
| E0260 |
Hosp bed semi-electr w/ matt |
14 |
14 |
$643.30 |
| A7039 |
Filter, non disposable w pap |
122 |
114 |
$485.78 |
| A7031 |
Replacement facemask interfa |
15 |
14 |
$410.35 |
| A7030 |
Cpap full face mask |
15 |
13 |
$340.40 |