| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,765 |
7,949 |
$327K |
| A7030 |
Cpap full face mask |
2,362 |
2,195 |
$122K |
| E0601 |
Cont airway pressure device |
4,740 |
3,028 |
$108K |
| A4604 |
Tubing with heating element |
3,162 |
2,987 |
$79K |
| A7031 |
Replacement facemask interfa |
2,672 |
2,386 |
$56K |
| E0431 |
Portable gaseous 02 |
5,617 |
4,934 |
$42K |
| E0562 |
Humidifier heated used w pap |
1,267 |
1,155 |
$42K |
| E0570 |
Nebulizer with compression |
2,189 |
2,006 |
$32K |
| A7035 |
Pos airway press headgear |
2,280 |
2,151 |
$28K |
| A7034 |
Nasal application device |
730 |
695 |
$27K |
| E0260 |
Hosp bed semi-electr w/ matt |
666 |
598 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,635 |
1,562 |
$14K |
| E0470 |
Rad w/o backup non-inv intfc |
478 |
162 |
$10K |
| K0001 |
Standard wheelchair |
810 |
719 |
$9K |
| A7038 |
Pos airway pressure filter |
4,654 |
3,917 |
$8K |
| E1392 |
Portable oxygen concentrator |
263 |
236 |
$5K |
| A7005 |
Nondisposable nebulizer set |
263 |
258 |
$3K |
| A7032 |
Replacement nasal cushion |
129 |
113 |
$3K |
| A7033 |
Replacement nasal pillows |
135 |
122 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
28 |
27 |
$592.52 |
| K0003 |
Lightweight wheelchair |
15 |
14 |
$485.00 |
| A7037 |
Pos airway pressure tubing |
16 |
13 |
$44.21 |