| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,800 |
1,300 |
$68K |
| E1390 |
Oxygen concentrator |
2,351 |
1,710 |
$67K |
| E0562 |
Humidifier heated used w pap |
2,258 |
1,564 |
$22K |
| A7030 |
Cpap full face mask |
194 |
127 |
$13K |
| A4604 |
Tubing with heating element |
461 |
366 |
$13K |
| E0570 |
Nebulizer with compression |
510 |
345 |
$9K |
| A7035 |
Pos airway press headgear |
574 |
434 |
$7K |
| A7038 |
Pos airway pressure filter |
1,302 |
1,042 |
$5K |
| K0738 |
Portable gas oxygen system |
343 |
245 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
12 |
12 |
$2K |
| E0431 |
Portable gaseous 02 |
282 |
197 |
$2K |
| K0001 |
Standard wheelchair |
31 |
25 |
$327.72 |
| A7046 |
Repl water chamber, pap dev |
32 |
26 |
$247.28 |
| A7015 |
Aerosol mask used w nebulize |
100 |
63 |
$132.67 |
| A7003 |
Nebulizer administration set |
35 |
28 |
$112.38 |