| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,451 |
5,025 |
$177K |
| E0601 |
Cont airway pressure device |
1,288 |
1,208 |
$51K |
| E0466 |
Home vent non-invasive inter |
175 |
174 |
$44K |
| E0431 |
Portable gaseous 02 |
3,687 |
3,419 |
$38K |
| K0001 |
Standard wheelchair |
708 |
631 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
306 |
272 |
$9K |
| A7030 |
Cpap full face mask |
228 |
215 |
$9K |
| E0562 |
Humidifier heated used w pap |
131 |
130 |
$6K |
| A7035 |
Pos airway press headgear |
321 |
296 |
$4K |
| E0570 |
Nebulizer with compression |
499 |
488 |
$3K |
| A7034 |
Nasal application device |
142 |
132 |
$3K |
| A7038 |
Pos airway pressure filter |
797 |
712 |
$2K |
| A7037 |
Pos airway pressure tubing |
266 |
255 |
$2K |
| A7031 |
Replacement facemask interfa |
86 |
80 |
$2K |
| A4604 |
Tubing with heating element |
32 |
25 |
$520.63 |
| A7039 |
Filter, non disposable w pap |
54 |
53 |
$239.56 |
| A7046 |
Repl water chamber, pap dev |
16 |
14 |
$49.41 |