| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,633 |
7,968 |
$434K |
| E0601 |
Cont airway pressure device |
3,671 |
3,374 |
$178K |
| K0738 |
Portable gas oxygen system |
3,251 |
2,845 |
$71K |
| E0570 |
Nebulizer with compression |
2,707 |
2,377 |
$70K |
| E0562 |
Humidifier heated used w pap |
1,596 |
1,470 |
$67K |
| E0470 |
Rad w/o backup non-inv intfc |
605 |
572 |
$54K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,398 |
1,211 |
$53K |
| E1392 |
Portable oxygen concentrator |
3,436 |
2,874 |
$52K |
| K0001 |
Standard wheelchair |
1,413 |
1,275 |
$34K |
| E0143 |
Walker folding wheeled w/o s |
255 |
211 |
$7K |
| A7035 |
Pos airway press headgear |
260 |
251 |
$7K |
| A7005 |
Nondisposable nebulizer set |
373 |
339 |
$5K |
| A7030 |
Cpap full face mask |
55 |
55 |
$5K |
| A7037 |
Pos airway pressure tubing |
137 |
134 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
27 |
24 |
$2K |
| A4604 |
Tubing with heating element |
32 |
24 |
$1K |
| A7003 |
Nebulizer administration set |
463 |
430 |
$211.02 |
| A7038 |
Pos airway pressure filter |
14 |
13 |
$39.53 |
| A7013 |
Disposable compressor filter |
340 |
302 |
$34.87 |