| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,676 |
7,978 |
$268K |
| A7030 |
Cpap full face mask |
1,132 |
1,024 |
$60K |
| E0431 |
Portable gaseous 02 |
6,823 |
5,145 |
$34K |
| E0601 |
Cont airway pressure device |
2,487 |
1,763 |
$33K |
| A7031 |
Replacement facemask interfa |
1,553 |
1,375 |
$30K |
| A4604 |
Tubing with heating element |
559 |
509 |
$17K |
| E0562 |
Humidifier heated used w pap |
3,141 |
2,237 |
$15K |
| A7035 |
Pos airway press headgear |
1,286 |
1,163 |
$15K |
| E0570 |
Nebulizer with compression |
1,980 |
1,587 |
$14K |
| A7037 |
Pos airway pressure tubing |
1,118 |
1,002 |
$8K |
| A7038 |
Pos airway pressure filter |
3,910 |
3,507 |
$7K |
| A7046 |
Repl water chamber, pap dev |
756 |
673 |
$6K |
| E0260 |
Hosp bed semi-electr w/ matt |
285 |
255 |
$4K |
| K0001 |
Standard wheelchair |
808 |
684 |
$4K |
| A7034 |
Nasal application device |
54 |
51 |
$2K |
| A7005 |
Nondisposable nebulizer set |
48 |
39 |
$191.81 |
| A7039 |
Filter, non disposable w pap |
32 |
28 |
$119.34 |
| A7003 |
Nebulizer administration set |
348 |
225 |
$102.31 |
| E0443 |
Portable 02 contents, gas |
34 |
27 |
$31.56 |