| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,932 |
3,507 |
$168K |
| E0601 |
Cont airway pressure device |
968 |
848 |
$39K |
| E0570 |
Nebulizer with compression |
1,442 |
1,325 |
$27K |
| E0431 |
Portable gaseous 02 |
3,093 |
2,765 |
$23K |
| E0260 |
Hosp bed semi-electr w/ matt |
841 |
740 |
$22K |
| A7030 |
Cpap full face mask |
128 |
124 |
$8K |
| A7037 |
Pos airway pressure tubing |
549 |
500 |
$8K |
| A7031 |
Replacement facemask interfa |
123 |
113 |
$5K |
| A7038 |
Pos airway pressure filter |
561 |
492 |
$4K |
| A7035 |
Pos airway press headgear |
222 |
207 |
$3K |
| E0114 |
Crutch underarm pair no wood |
98 |
97 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
42 |
37 |
$1K |
| A7034 |
Nasal application device |
31 |
27 |
$1K |
| K0001 |
Standard wheelchair |
129 |
124 |
$1K |
| A7005 |
Nondisposable nebulizer set |
49 |
44 |
$695.14 |
| A7046 |
Repl water chamber, pap dev |
22 |
16 |
$132.49 |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$74.22 |