| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,716 |
4,643 |
$208K |
| E0601 |
Cont airway pressure device |
4,002 |
3,052 |
$129K |
| E0570 |
Nebulizer with compression |
3,136 |
2,285 |
$105K |
| E0562 |
Humidifier heated used w pap |
4,620 |
3,492 |
$51K |
| A7030 |
Cpap full face mask |
864 |
675 |
$46K |
| K0738 |
Portable gas oxygen system |
2,072 |
1,521 |
$28K |
| A7031 |
Replacement facemask interfa |
1,608 |
1,183 |
$27K |
| E0470 |
Rad w/o backup non-inv intfc |
400 |
289 |
$24K |
| L4361 |
Pneuma/vac walk boot pre ots |
139 |
127 |
$24K |
| E0114 |
Crutch underarm pair no wood |
824 |
711 |
$22K |
| A7035 |
Pos airway press headgear |
1,892 |
1,445 |
$22K |
| A6530 |
Compression stocking bk18-30 |
624 |
272 |
$18K |
| A7038 |
Pos airway pressure filter |
3,748 |
2,887 |
$11K |
| A7037 |
Pos airway pressure tubing |
846 |
748 |
$6K |
| E0431 |
Portable gaseous 02 |
781 |
651 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
282 |
193 |
$4K |
| K0001 |
Standard wheelchair |
155 |
94 |
$3K |
| E1392 |
Portable oxygen concentrator |
811 |
517 |
$2K |
| A4604 |
Tubing with heating element |
670 |
421 |
$2K |
| A7046 |
Repl water chamber, pap dev |
236 |
195 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
37 |
24 |
$1K |
| A7003 |
Nebulizer administration set |
461 |
336 |
$992.70 |
| A7015 |
Aerosol mask used w nebulize |
258 |
220 |
$328.06 |
| A7005 |
Nondisposable nebulizer set |
19 |
15 |
$253.58 |