| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,313 |
5,455 |
$303K |
| E0601 |
Cont airway pressure device |
3,486 |
2,494 |
$76K |
| E0431 |
Portable gaseous 02 |
4,619 |
3,595 |
$53K |
| A7030 |
Cpap full face mask |
920 |
640 |
$31K |
| A4604 |
Tubing with heating element |
2,150 |
1,491 |
$22K |
| A7031 |
Replacement facemask interfa |
1,153 |
862 |
$21K |
| A7034 |
Nasal application device |
846 |
591 |
$15K |
| A7035 |
Pos airway press headgear |
1,207 |
842 |
$9K |
| A7038 |
Pos airway pressure filter |
2,876 |
2,041 |
$8K |
| E1392 |
Portable oxygen concentrator |
1,529 |
1,230 |
$8K |
| E0570 |
Nebulizer with compression |
798 |
590 |
$6K |
| A7033 |
Replacement nasal pillows |
528 |
366 |
$5K |
| E0562 |
Humidifier heated used w pap |
87 |
62 |
$4K |
| K0001 |
Standard wheelchair |
304 |
216 |
$3K |
| A7046 |
Repl water chamber, pap dev |
604 |
448 |
$2K |
| A7032 |
Replacement nasal cushion |
117 |
93 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
22 |
18 |
$367.16 |
| E0260 |
Hosp bed semi-electr w/ matt |
14 |
12 |
$225.45 |
| A7039 |
Filter, non disposable w pap |
15 |
13 |
$79.48 |