| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,064 |
6,230 |
$171K |
| E0431 |
Portable gaseous 02 |
4,504 |
3,446 |
$36K |
| E0601 |
Cont airway pressure device |
258 |
225 |
$6K |
| E0570 |
Nebulizer with compression |
1,759 |
1,339 |
$3K |
| E1392 |
Portable oxygen concentrator |
1,438 |
1,134 |
$2K |
| E0562 |
Humidifier heated used w pap |
360 |
315 |
$1K |
| K0001 |
Standard wheelchair |
208 |
182 |
$332.50 |
| A7003 |
Nebulizer administration set |
140 |
110 |
$56.79 |
| A7031 |
Replacement facemask interfa |
19 |
16 |
$35.22 |
| A7037 |
Pos airway pressure tubing |
53 |
38 |
$23.02 |
| A7030 |
Cpap full face mask |
17 |
13 |
$21.14 |
| A7038 |
Pos airway pressure filter |
274 |
220 |
$14.92 |
| A7035 |
Pos airway press headgear |
16 |
13 |
$11.73 |