| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,377 |
3,345 |
$230K |
| E0601 |
Cont airway pressure device |
1,291 |
1,281 |
$65K |
| E0603 |
Electric breast pump |
437 |
436 |
$53K |
| E0431 |
Portable gaseous 02 |
2,845 |
2,827 |
$39K |
| E0570 |
Nebulizer with compression |
528 |
525 |
$17K |
| E0562 |
Humidifier heated used w pap |
1,337 |
1,332 |
$15K |
| A7038 |
Pos airway pressure filter |
569 |
556 |
$11K |
| A7035 |
Pos airway press headgear |
399 |
390 |
$8K |
| E0143 |
Walker folding wheeled w/o s |
105 |
101 |
$5K |
| A7030 |
Cpap full face mask |
53 |
51 |
$3K |
| A7037 |
Pos airway pressure tubing |
122 |
121 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
37 |
37 |
$2K |
| E0149 |
Heavy duty wheeled walker |
12 |
12 |
$63.27 |