| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,132 |
2,833 |
$311K |
| E0601 |
Cont airway pressure device |
2,542 |
2,338 |
$125K |
| E0562 |
Humidifier heated used w pap |
2,767 |
2,498 |
$54K |
| E0431 |
Portable gaseous 02 |
1,833 |
1,754 |
$30K |
| E0570 |
Nebulizer with compression |
1,123 |
1,079 |
$30K |
| E0470 |
Rad w/o backup non-inv intfc |
231 |
208 |
$28K |
| A4604 |
Tubing with heating element |
650 |
611 |
$19K |
| A7030 |
Cpap full face mask |
114 |
106 |
$12K |
| A7035 |
Pos airway press headgear |
596 |
566 |
$11K |
| K0001 |
Standard wheelchair |
317 |
300 |
$8K |
| A7038 |
Pos airway pressure filter |
1,266 |
1,223 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
122 |
122 |
$4K |
| A7005 |
Nondisposable nebulizer set |
111 |
92 |
$2K |
| A7046 |
Repl water chamber, pap dev |
73 |
67 |
$616.55 |
| A7032 |
Replacement nasal cushion |
37 |
28 |
$558.83 |
| A7003 |
Nebulizer administration set |
144 |
125 |
$371.91 |
| A7013 |
Disposable compressor filter |
175 |
155 |
$179.06 |
| A7015 |
Aerosol mask used w nebulize |
12 |
12 |
$17.50 |