| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,825 |
2,464 |
$231K |
| E1392 |
Portable oxygen concentrator |
1,687 |
1,486 |
$110K |
| E0466 |
Home vent non-invasive inter |
262 |
194 |
$69K |
| E0601 |
Cont airway pressure device |
521 |
428 |
$12K |
| K0738 |
Portable gas oxygen system |
552 |
499 |
$8K |
| E0570 |
Nebulizer with compression |
419 |
385 |
$8K |
| A7030 |
Cpap full face mask |
65 |
58 |
$6K |
| K0001 |
Standard wheelchair |
243 |
214 |
$5K |
| E0562 |
Humidifier heated used w pap |
53 |
40 |
$2K |
| A7031 |
Replacement facemask interfa |
51 |
37 |
$2K |
| A7038 |
Pos airway pressure filter |
305 |
236 |
$2K |
| A4604 |
Tubing with heating element |
64 |
52 |
$2K |
| E0600 |
Suction pump portab hom modl |
93 |
74 |
$1K |
| K0195 |
Elevating whlchair leg rests |
45 |
43 |
$213.99 |