| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,275 |
5,525 |
$238K |
| A7030 |
Cpap full face mask |
783 |
721 |
$40K |
| E0601 |
Cont airway pressure device |
1,529 |
998 |
$37K |
| A4604 |
Tubing with heating element |
950 |
886 |
$22K |
| A7031 |
Replacement facemask interfa |
857 |
740 |
$20K |
| E0431 |
Portable gaseous 02 |
2,235 |
1,790 |
$17K |
| E0570 |
Nebulizer with compression |
826 |
656 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
340 |
294 |
$7K |
| E1392 |
Portable oxygen concentrator |
373 |
325 |
$7K |
| A7035 |
Pos airway press headgear |
468 |
431 |
$6K |
| E0562 |
Humidifier heated used w pap |
115 |
101 |
$4K |
| A7038 |
Pos airway pressure filter |
1,497 |
1,128 |
$2K |
| A7046 |
Repl water chamber, pap dev |
182 |
176 |
$2K |
| K0001 |
Standard wheelchair |
151 |
145 |
$1K |