| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,637 |
11,329 |
$767K |
| E0601 |
Cont airway pressure device |
5,314 |
5,163 |
$310K |
| E0431 |
Portable gaseous 02 |
2,999 |
2,958 |
$93K |
| K0738 |
Portable gas oxygen system |
3,256 |
3,117 |
$91K |
| A7030 |
Cpap full face mask |
1,281 |
1,205 |
$70K |
| E0470 |
Rad w/o backup non-inv intfc |
480 |
471 |
$59K |
| E1392 |
Portable oxygen concentrator |
2,006 |
1,972 |
$52K |
| E0562 |
Humidifier heated used w pap |
396 |
381 |
$49K |
| A4604 |
Tubing with heating element |
1,776 |
1,682 |
$48K |
| E0570 |
Nebulizer with compression |
1,702 |
1,636 |
$47K |
| A7035 |
Pos airway press headgear |
1,592 |
1,517 |
$33K |
| A7034 |
Nasal application device |
637 |
611 |
$21K |
| A7031 |
Replacement facemask interfa |
698 |
644 |
$19K |
| K0001 |
Standard wheelchair |
390 |
374 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
155 |
154 |
$11K |
| A7038 |
Pos airway pressure filter |
2,764 |
2,534 |
$8K |
| E0255 |
Hospital bed var ht w/ mattr |
102 |
99 |
$2K |
| A7003 |
Nebulizer administration set |
463 |
444 |
$742.89 |
| A7005 |
Nondisposable nebulizer set |
40 |
39 |
$619.39 |
| A7032 |
Replacement nasal cushion |
25 |
25 |
$497.65 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$284.27 |
| A7046 |
Repl water chamber, pap dev |
40 |
39 |
$98.48 |
| K0195 |
Elevating whlchair leg rests |
14 |
13 |
$66.36 |
| E1356 |
Batt pack/cart, port conc |
572 |
572 |
$0.00 |