| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,088 |
10,798 |
$333K |
| A7030 |
Cpap full face mask |
2,507 |
2,142 |
$77K |
| E0601 |
Cont airway pressure device |
3,126 |
2,606 |
$54K |
| A7031 |
Replacement facemask interfa |
3,471 |
2,941 |
$52K |
| A4604 |
Tubing with heating element |
2,824 |
2,415 |
$38K |
| E0431 |
Portable gaseous 02 |
6,741 |
5,734 |
$31K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,061 |
892 |
$17K |
| E0562 |
Humidifier heated used w pap |
1,058 |
851 |
$16K |
| A7035 |
Pos airway press headgear |
2,015 |
1,711 |
$14K |
| A7034 |
Nasal application device |
656 |
555 |
$13K |
| A7038 |
Pos airway pressure filter |
5,399 |
4,572 |
$12K |
| A7033 |
Replacement nasal pillows |
559 |
482 |
$8K |
| E0570 |
Nebulizer with compression |
1,870 |
1,690 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,343 |
1,126 |
$5K |
| K0001 |
Standard wheelchair |
576 |
476 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
39 |
37 |
$2K |
| A7032 |
Replacement nasal cushion |
131 |
106 |
$2K |
| A7037 |
Pos airway pressure tubing |
157 |
127 |
$630.93 |
| E1392 |
Portable oxygen concentrator |
126 |
120 |
$443.23 |