| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,220 |
11,574 |
$548K |
| K0738 |
Portable gas oxygen system |
7,010 |
6,633 |
$266K |
| E0601 |
Cont airway pressure device |
6,182 |
5,848 |
$202K |
| A7030 |
Cpap full face mask |
1,588 |
1,512 |
$136K |
| E0570 |
Nebulizer with compression |
1,806 |
1,759 |
$53K |
| A7035 |
Pos airway press headgear |
2,223 |
2,147 |
$49K |
| A7037 |
Pos airway pressure tubing |
940 |
927 |
$27K |
| E0562 |
Humidifier heated used w pap |
192 |
183 |
$22K |
| A7038 |
Pos airway pressure filter |
3,550 |
3,399 |
$18K |
| A7034 |
Nasal application device |
287 |
276 |
$15K |
| A7031 |
Replacement facemask interfa |
471 |
433 |
$12K |
| A7046 |
Repl water chamber, pap dev |
721 |
708 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
121 |
114 |
$8K |
| A4604 |
Tubing with heating element |
609 |
564 |
$8K |
| E0431 |
Portable gaseous 02 |
52 |
50 |
$3K |
| K0001 |
Standard wheelchair |
158 |
139 |
$2K |
| A7039 |
Filter, non disposable w pap |
256 |
254 |
$2K |
| A7003 |
Nebulizer administration set |
315 |
313 |
$912.24 |
| E0260 |
Hosp bed semi-electr w/ matt |
15 |
12 |
$519.96 |
| A7005 |
Nondisposable nebulizer set |
31 |
31 |
$420.69 |