| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,396 |
6,870 |
$184K |
| E0431 |
Portable gaseous 02 |
6,114 |
4,777 |
$29K |
| A7030 |
Cpap full face mask |
220 |
210 |
$11K |
| E0601 |
Cont airway pressure device |
752 |
577 |
$8K |
| A7031 |
Replacement facemask interfa |
412 |
376 |
$7K |
| E0562 |
Humidifier heated used w pap |
1,161 |
889 |
$3K |
| E0570 |
Nebulizer with compression |
951 |
752 |
$2K |
| A7038 |
Pos airway pressure filter |
1,730 |
1,492 |
$2K |
| A7035 |
Pos airway press headgear |
159 |
145 |
$2K |
| A7037 |
Pos airway pressure tubing |
221 |
203 |
$1K |
| A7046 |
Repl water chamber, pap dev |
101 |
91 |
$724.52 |
| K0001 |
Standard wheelchair |
57 |
50 |
$328.37 |
| A4604 |
Tubing with heating element |
13 |
12 |
$250.26 |