| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,587 |
4,460 |
$149K |
| E0466 |
Home vent non-invasive inter |
410 |
292 |
$70K |
| E0431 |
Portable gaseous 02 |
3,201 |
2,648 |
$52K |
| E0601 |
Cont airway pressure device |
653 |
586 |
$20K |
| E0570 |
Nebulizer with compression |
1,840 |
1,504 |
$7K |
| E0562 |
Humidifier heated used w pap |
699 |
622 |
$3K |
| A7003 |
Nebulizer administration set |
598 |
437 |
$1K |
| E1392 |
Portable oxygen concentrator |
495 |
419 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
38 |
25 |
$998.09 |
| A7038 |
Pos airway pressure filter |
587 |
490 |
$363.94 |
| A7037 |
Pos airway pressure tubing |
123 |
113 |
$262.40 |
| A7030 |
Cpap full face mask |
100 |
95 |
$241.87 |
| A7031 |
Replacement facemask interfa |
98 |
89 |
$159.75 |
| A7046 |
Repl water chamber, pap dev |
68 |
61 |
$63.24 |
| K0001 |
Standard wheelchair |
14 |
12 |
$31.18 |
| A7035 |
Pos airway press headgear |
94 |
80 |
$21.16 |