| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,932 |
10,837 |
$422K |
| E0431 |
Portable gaseous 02 |
5,762 |
5,272 |
$153K |
| E0601 |
Cont airway pressure device |
2,235 |
2,032 |
$57K |
| E0562 |
Humidifier heated used w pap |
625 |
561 |
$13K |
| A7031 |
Replacement facemask interfa |
467 |
404 |
$11K |
| A7038 |
Pos airway pressure filter |
2,552 |
2,336 |
$11K |
| A7030 |
Cpap full face mask |
172 |
159 |
$8K |
| A7037 |
Pos airway pressure tubing |
864 |
745 |
$7K |
| E0570 |
Nebulizer with compression |
1,241 |
1,108 |
$6K |
| K0001 |
Standard wheelchair |
512 |
361 |
$4K |
| A7035 |
Pos airway press headgear |
300 |
254 |
$3K |
| A7034 |
Nasal application device |
16 |
15 |
$437.00 |
| A7046 |
Repl water chamber, pap dev |
66 |
60 |
$355.22 |
| E0260 |
Hosp bed semi-electr w/ matt |
15 |
12 |
$207.70 |
| A7033 |
Replacement nasal pillows |
13 |
12 |
$163.68 |
| Q0513 |
Disp fee inhal drugs/30 days |
18 |
14 |
$95.04 |
| A7003 |
Nebulizer administration set |
73 |
65 |
$57.70 |