| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,916 |
4,265 |
$212K |
| E0601 |
Cont airway pressure device |
2,274 |
2,064 |
$55K |
| E0431 |
Portable gaseous 02 |
3,674 |
3,191 |
$32K |
| E0570 |
Nebulizer with compression |
2,128 |
1,938 |
$29K |
| A7038 |
Pos airway pressure filter |
2,333 |
1,870 |
$14K |
| K0001 |
Standard wheelchair |
1,279 |
1,179 |
$11K |
| A7030 |
Cpap full face mask |
238 |
195 |
$9K |
| E0466 |
Home vent non-invasive inter |
25 |
24 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
209 |
198 |
$7K |
| A7031 |
Replacement facemask interfa |
385 |
361 |
$7K |
| A7037 |
Pos airway pressure tubing |
737 |
655 |
$6K |
| A7035 |
Pos airway press headgear |
531 |
453 |
$5K |
| A7003 |
Nebulizer administration set |
654 |
385 |
$1K |
| E0562 |
Humidifier heated used w pap |
13 |
13 |
$925.21 |
| A7039 |
Filter, non disposable w pap |
289 |
271 |
$830.54 |
| E1392 |
Portable oxygen concentrator |
30 |
24 |
$306.95 |
| A7015 |
Aerosol mask used w nebulize |
338 |
270 |
$260.82 |
| E0143 |
Walker folding wheeled w/o s |
14 |
14 |
$181.26 |