| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,292 |
7,612 |
$350K |
| E0431 |
Portable gaseous 02 |
3,093 |
2,834 |
$42K |
| E0601 |
Cont airway pressure device |
377 |
338 |
$15K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
117 |
87 |
$4K |
| A6266 |
Impreg gauze no h20/sal/yard |
36 |
27 |
$3K |
| A4452 |
Waterproof tape |
114 |
97 |
$2K |
| A7037 |
Pos airway pressure tubing |
141 |
133 |
$2K |
| E0570 |
Nebulizer with compression |
134 |
131 |
$1K |
| A6402 |
Sterile gauze <= 16 sq in |
145 |
130 |
$1K |
| A6446 |
Conform band s w>=3" <5"/yd |
71 |
54 |
$956.39 |
| E0562 |
Humidifier heated used w pap |
15 |
15 |
$764.89 |
| E0261 |
Hosp bed semi-electr w/o mat |
17 |
15 |
$638.57 |
| A7038 |
Pos airway pressure filter |
203 |
189 |
$502.77 |
| A7035 |
Pos airway press headgear |
28 |
28 |
$475.79 |
| A7039 |
Filter, non disposable w pap |
40 |
38 |
$242.10 |