| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,179 |
12,352 |
$396K |
| E0466 |
Home vent non-invasive inter |
1,287 |
1,031 |
$282K |
| E0431 |
Portable gaseous 02 |
13,842 |
11,156 |
$63K |
| E0601 |
Cont airway pressure device |
707 |
601 |
$7K |
| A7038 |
Pos airway pressure filter |
731 |
650 |
$4K |
| E1392 |
Portable oxygen concentrator |
472 |
441 |
$3K |
| A7037 |
Pos airway pressure tubing |
554 |
501 |
$3K |
| E0570 |
Nebulizer with compression |
890 |
714 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
197 |
175 |
$2K |
| A7035 |
Pos airway press headgear |
107 |
103 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
131 |
119 |
$1K |
| E0562 |
Humidifier heated used w pap |
154 |
148 |
$999.35 |
| A7030 |
Cpap full face mask |
27 |
27 |
$828.00 |
| A7034 |
Nasal application device |
39 |
38 |
$719.86 |
| K0003 |
Lightweight wheelchair |
13 |
12 |
$86.69 |
| A7046 |
Repl water chamber, pap dev |
15 |
14 |
$72.01 |
| A7039 |
Filter, non disposable w pap |
53 |
52 |
$56.18 |
| E0156 |
Walker seat attachment |
16 |
12 |
$8.61 |