| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,028 |
4,227 |
$127K |
| E0601 |
Cont airway pressure device |
1,770 |
1,381 |
$24K |
| A7030 |
Cpap full face mask |
376 |
247 |
$15K |
| E0431 |
Portable gaseous 02 |
1,623 |
1,282 |
$13K |
| E0562 |
Humidifier heated used w pap |
346 |
253 |
$7K |
| E1392 |
Portable oxygen concentrator |
461 |
353 |
$5K |
| A7035 |
Pos airway press headgear |
593 |
424 |
$5K |
| A7034 |
Nasal application device |
161 |
118 |
$5K |
| K0001 |
Standard wheelchair |
157 |
155 |
$4K |
| A4604 |
Tubing with heating element |
163 |
130 |
$3K |
| A7037 |
Pos airway pressure tubing |
525 |
330 |
$3K |
| A7038 |
Pos airway pressure filter |
1,099 |
749 |
$3K |
| K0738 |
Portable gas oxygen system |
384 |
218 |
$2K |
| A7031 |
Replacement facemask interfa |
147 |
85 |
$2K |
| A7046 |
Repl water chamber, pap dev |
129 |
97 |
$638.40 |
| E0470 |
Rad w/o backup non-inv intfc |
24 |
12 |
$424.40 |
| A7036 |
Pos airway press chinstrap |
19 |
12 |
$94.27 |