| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,622 |
8,630 |
$375K |
| E0431 |
Portable gaseous 02 |
3,027 |
2,691 |
$109K |
| E0601 |
Cont airway pressure device |
1,221 |
920 |
$19K |
| A7030 |
Cpap full face mask |
130 |
105 |
$7K |
| E0562 |
Humidifier heated used w pap |
269 |
213 |
$4K |
| A7037 |
Pos airway pressure tubing |
372 |
294 |
$3K |
| A7038 |
Pos airway pressure filter |
673 |
491 |
$2K |
| K0001 |
Standard wheelchair |
171 |
160 |
$1K |
| A7035 |
Pos airway press headgear |
115 |
95 |
$1K |
| E0570 |
Nebulizer with compression |
75 |
75 |
$837.63 |
| A7031 |
Replacement facemask interfa |
29 |
27 |
$299.42 |
| A7046 |
Repl water chamber, pap dev |
30 |
27 |
$177.37 |
| A7039 |
Filter, non disposable w pap |
32 |
28 |
$163.28 |