| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,348 |
7,688 |
$164K |
| E0570 |
Nebulizer with compression |
5,563 |
4,282 |
$118K |
| E0601 |
Cont airway pressure device |
4,043 |
2,931 |
$65K |
| L0648 |
Lso sag r an/pos pnl pre ots |
138 |
92 |
$37K |
| A7031 |
Replacement facemask interfa |
2,435 |
1,800 |
$33K |
| E0562 |
Humidifier heated used w pap |
2,049 |
1,397 |
$22K |
| E0431 |
Portable gaseous 02 |
4,845 |
3,821 |
$17K |
| A7030 |
Cpap full face mask |
482 |
348 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,849 |
1,315 |
$9K |
| A7035 |
Pos airway press headgear |
1,162 |
834 |
$8K |
| A7038 |
Pos airway pressure filter |
4,246 |
3,101 |
$8K |
| A7032 |
Replacement nasal cushion |
532 |
396 |
$5K |
| A7003 |
Nebulizer administration set |
2,513 |
2,107 |
$5K |
| K0001 |
Standard wheelchair |
720 |
524 |
$5K |
| A7005 |
Nondisposable nebulizer set |
396 |
367 |
$4K |
| A7039 |
Filter, non disposable w pap |
918 |
656 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
2,721 |
2,359 |
$2K |
| E0443 |
Portable 02 contents, gas |
681 |
571 |
$2K |
| A7034 |
Nasal application device |
77 |
53 |
$1K |
| A7013 |
Disposable compressor filter |
2,331 |
2,044 |
$784.79 |
| E0143 |
Walker folding wheeled w/o s |
15 |
13 |
$562.25 |
| A7033 |
Replacement nasal pillows |
14 |
13 |
$131.56 |
| A7046 |
Repl water chamber, pap dev |
42 |
26 |
$123.18 |