| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,353 |
2,158 |
$113K |
| E0570 |
Nebulizer with compression |
2,724 |
2,486 |
$110K |
| E0261 |
Hosp bed semi-electr w/o mat |
711 |
702 |
$18K |
| E0431 |
Portable gaseous 02 |
1,446 |
1,380 |
$15K |
| E0601 |
Cont airway pressure device |
460 |
449 |
$13K |
| A7005 |
Nondisposable nebulizer set |
899 |
860 |
$10K |
| K0001 |
Standard wheelchair |
772 |
768 |
$7K |
| A7030 |
Cpap full face mask |
56 |
54 |
$4K |
| A7037 |
Pos airway pressure tubing |
348 |
312 |
$4K |
| A7038 |
Pos airway pressure filter |
466 |
365 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,411 |
1,304 |
$2K |
| A7031 |
Replacement facemask interfa |
69 |
66 |
$1K |
| A7003 |
Nebulizer administration set |
519 |
455 |
$886.79 |
| A4627 |
Spacer bag/reservoir |
30 |
27 |
$754.71 |
| A7035 |
Pos airway press headgear |
18 |
16 |
$86.35 |
| A7039 |
Filter, non disposable w pap |
30 |
28 |
$59.64 |