| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,604 |
12,261 |
$474K |
| A7030 |
Cpap full face mask |
2,047 |
1,888 |
$120K |
| A7031 |
Replacement facemask interfa |
3,589 |
3,338 |
$109K |
| E0601 |
Cont airway pressure device |
2,738 |
2,561 |
$106K |
| E0431 |
Portable gaseous 02 |
8,067 |
7,332 |
$52K |
| E0562 |
Humidifier heated used w pap |
2,692 |
2,532 |
$36K |
| E0570 |
Nebulizer with compression |
2,394 |
2,105 |
$27K |
| K0001 |
Standard wheelchair |
1,432 |
1,369 |
$21K |
| A7037 |
Pos airway pressure tubing |
1,978 |
1,791 |
$18K |
| A7038 |
Pos airway pressure filter |
4,010 |
3,708 |
$16K |
| A7035 |
Pos airway press headgear |
1,226 |
1,155 |
$14K |
| E1392 |
Portable oxygen concentrator |
1,928 |
1,695 |
$14K |
| A7046 |
Repl water chamber, pap dev |
759 |
717 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
53 |
50 |
$4K |
| E0443 |
Portable 02 contents, gas |
340 |
254 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
65 |
62 |
$1K |
| A4604 |
Tubing with heating element |
14 |
13 |
$729.04 |
| A7003 |
Nebulizer administration set |
543 |
464 |
$344.79 |
| Q0513 |
Disp fee inhal drugs/30 days |
94 |
39 |
$6.60 |