| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,725 |
5,288 |
$139K |
| E0431 |
Portable gaseous 02 |
3,476 |
2,687 |
$17K |
| E0601 |
Cont airway pressure device |
1,095 |
845 |
$13K |
| E0570 |
Nebulizer with compression |
1,538 |
1,270 |
$3K |
| E0562 |
Humidifier heated used w pap |
430 |
364 |
$2K |
| K0001 |
Standard wheelchair |
332 |
287 |
$2K |
| A7003 |
Nebulizer administration set |
446 |
319 |
$279.72 |
| A7031 |
Replacement facemask interfa |
111 |
99 |
$237.33 |
| E1392 |
Portable oxygen concentrator |
307 |
272 |
$226.32 |
| E0143 |
Walker folding wheeled w/o s |
13 |
12 |
$203.27 |
| A7037 |
Pos airway pressure tubing |
255 |
215 |
$100.07 |
| A7035 |
Pos airway press headgear |
57 |
53 |
$39.06 |
| A7030 |
Cpap full face mask |
78 |
71 |
$38.15 |
| A7038 |
Pos airway pressure filter |
597 |
460 |
$19.35 |
| A7046 |
Repl water chamber, pap dev |
14 |
14 |
$0.00 |