| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,450 |
5,866 |
$347K |
| E0601 |
Cont airway pressure device |
1,592 |
1,382 |
$49K |
| E0562 |
Humidifier heated used w pap |
601 |
553 |
$24K |
| A7030 |
Cpap full face mask |
394 |
353 |
$22K |
| E0431 |
Portable gaseous 02 |
2,020 |
1,794 |
$21K |
| A7037 |
Pos airway pressure tubing |
1,406 |
1,310 |
$17K |
| A7035 |
Pos airway press headgear |
800 |
742 |
$14K |
| A7038 |
Pos airway pressure filter |
1,644 |
1,464 |
$11K |
| A7034 |
Nasal application device |
113 |
104 |
$5K |
| A7039 |
Filter, non disposable w pap |
431 |
395 |
$5K |
| E0570 |
Nebulizer with compression |
601 |
466 |
$4K |
| A7003 |
Nebulizer administration set |
19 |
14 |
$440.97 |
| K0001 |
Standard wheelchair |
13 |
12 |
$103.58 |