| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,120 |
1,931 |
$82K |
| E0601 |
Cont airway pressure device |
1,044 |
950 |
$78K |
| E0570 |
Nebulizer with compression |
1,110 |
1,051 |
$39K |
| A7030 |
Cpap full face mask |
235 |
219 |
$17K |
| E0431 |
Portable gaseous 02 |
1,721 |
1,577 |
$15K |
| K0001 |
Standard wheelchair |
337 |
321 |
$6K |
| A4604 |
Tubing with heating element |
152 |
142 |
$5K |
| A7035 |
Pos airway press headgear |
167 |
156 |
$2K |
| A7038 |
Pos airway pressure filter |
1,234 |
1,107 |
$2K |
| E0443 |
Portable 02 contents, gas |
62 |
39 |
$2K |
| A7003 |
Nebulizer administration set |
299 |
281 |
$1K |
| A7037 |
Pos airway pressure tubing |
101 |
94 |
$521.64 |
| A7031 |
Replacement facemask interfa |
13 |
13 |
$436.06 |
| E0260 |
Hosp bed semi-electr w/ matt |
57 |
55 |
$377.70 |
| A7039 |
Filter, non disposable w pap |
67 |
65 |
$267.42 |