| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,867 |
8,220 |
$591K |
| E0601 |
Cont airway pressure device |
3,286 |
2,080 |
$87K |
| E0431 |
Portable gaseous 02 |
9,594 |
6,164 |
$75K |
| A7030 |
Cpap full face mask |
1,040 |
663 |
$50K |
| A7031 |
Replacement facemask interfa |
1,676 |
1,090 |
$42K |
| A7037 |
Pos airway pressure tubing |
2,324 |
1,523 |
$21K |
| E0570 |
Nebulizer with compression |
3,026 |
1,887 |
$15K |
| A7035 |
Pos airway press headgear |
1,427 |
948 |
$14K |
| A7038 |
Pos airway pressure filter |
4,333 |
2,882 |
$14K |
| A7034 |
Nasal application device |
623 |
398 |
$13K |
| E0562 |
Humidifier heated used w pap |
1,235 |
804 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
309 |
184 |
$6K |
| A7032 |
Replacement nasal cushion |
119 |
68 |
$3K |
| E1392 |
Portable oxygen concentrator |
68 |
36 |
$960.36 |
| A7046 |
Repl water chamber, pap dev |
289 |
201 |
$796.44 |
| K0001 |
Standard wheelchair |
28 |
24 |
$409.66 |
| A7033 |
Replacement nasal pillows |
21 |
13 |
$337.90 |