| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,153 |
3,501 |
$166K |
| E0601 |
Cont airway pressure device |
2,209 |
1,996 |
$95K |
| E0431 |
Portable gaseous 02 |
2,720 |
2,285 |
$12K |
| E0470 |
Rad w/o backup non-inv intfc |
119 |
107 |
$8K |
| E0562 |
Humidifier heated used w pap |
2,268 |
2,064 |
$7K |
| E0570 |
Nebulizer with compression |
314 |
274 |
$2K |
| A7030 |
Cpap full face mask |
403 |
327 |
$1K |
| K0001 |
Standard wheelchair |
233 |
192 |
$1K |
| E1392 |
Portable oxygen concentrator |
433 |
335 |
$648.70 |
| A7034 |
Nasal application device |
186 |
153 |
$128.37 |
| A7031 |
Replacement facemask interfa |
399 |
324 |
$56.29 |
| A7038 |
Pos airway pressure filter |
770 |
614 |
$22.51 |
| A7035 |
Pos airway press headgear |
333 |
274 |
$0.43 |
| A7046 |
Repl water chamber, pap dev |
243 |
195 |
$0.00 |
| A9279 |
Monitoring feature/devicenoc |
17 |
14 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
506 |
405 |
$0.00 |
| A7032 |
Replacement nasal cushion |
49 |
42 |
$0.00 |