| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,167 |
7,595 |
$263K |
| A7030 |
Cpap full face mask |
1,764 |
1,395 |
$66K |
| E0601 |
Cont airway pressure device |
2,967 |
2,171 |
$59K |
| E0431 |
Portable gaseous 02 |
8,590 |
6,683 |
$51K |
| E0570 |
Nebulizer with compression |
2,831 |
2,292 |
$43K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,319 |
1,723 |
$36K |
| A7031 |
Replacement facemask interfa |
2,310 |
1,876 |
$33K |
| K0001 |
Standard wheelchair |
2,647 |
1,974 |
$25K |
| E0562 |
Humidifier heated used w pap |
2,597 |
1,953 |
$18K |
| A7035 |
Pos airway press headgear |
1,675 |
1,391 |
$15K |
| A7037 |
Pos airway pressure tubing |
2,450 |
1,931 |
$13K |
| A7046 |
Repl water chamber, pap dev |
1,050 |
871 |
$6K |
| A7038 |
Pos airway pressure filter |
4,674 |
3,720 |
$6K |
| A4604 |
Tubing with heating element |
120 |
116 |
$4K |
| A7005 |
Nondisposable nebulizer set |
355 |
311 |
$3K |
| E0265 |
Hosp bed total electr w/ mat |
42 |
36 |
$2K |
| A7034 |
Nasal application device |
43 |
42 |
$2K |
| A7039 |
Filter, non disposable w pap |
175 |
138 |
$467.79 |
| A7032 |
Replacement nasal cushion |
17 |
12 |
$55.89 |