| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,373 |
2,157 |
$133K |
| E0601 |
Cont airway pressure device |
2,064 |
1,991 |
$123K |
| E0562 |
Humidifier heated used w pap |
321 |
295 |
$32K |
| E0470 |
Rad w/o backup non-inv intfc |
284 |
272 |
$29K |
| K0738 |
Portable gas oxygen system |
1,375 |
1,220 |
$26K |
| A7030 |
Cpap full face mask |
497 |
464 |
$26K |
| E0570 |
Nebulizer with compression |
523 |
502 |
$24K |
| A7035 |
Pos airway press headgear |
745 |
689 |
$15K |
| A4604 |
Tubing with heating element |
303 |
277 |
$4K |
| A7037 |
Pos airway pressure tubing |
135 |
132 |
$3K |
| A7038 |
Pos airway pressure filter |
1,229 |
1,065 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
81 |
78 |
$2K |
| A7034 |
Nasal application device |
54 |
50 |
$2K |
| K0001 |
Standard wheelchair |
49 |
49 |
$1K |
| A7031 |
Replacement facemask interfa |
27 |
24 |
$622.85 |
| A7005 |
Nondisposable nebulizer set |
38 |
37 |
$614.28 |