| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,777 |
10,215 |
$345K |
| E0431 |
Portable gaseous 02 |
9,822 |
7,757 |
$44K |
| E0466 |
Home vent non-invasive inter |
96 |
84 |
$25K |
| E0601 |
Cont airway pressure device |
807 |
744 |
$16K |
| E1392 |
Portable oxygen concentrator |
771 |
706 |
$9K |
| E0570 |
Nebulizer with compression |
1,504 |
1,209 |
$5K |
| A7030 |
Cpap full face mask |
88 |
75 |
$3K |
| A7038 |
Pos airway pressure filter |
822 |
577 |
$3K |
| K0001 |
Standard wheelchair |
100 |
76 |
$1K |
| E0562 |
Humidifier heated used w pap |
96 |
95 |
$1K |
| A7035 |
Pos airway press headgear |
102 |
82 |
$1K |
| E0261 |
Hosp bed semi-electr w/o mat |
62 |
51 |
$929.15 |
| A7037 |
Pos airway pressure tubing |
113 |
78 |
$796.59 |
| E0143 |
Walker folding wheeled w/o s |
21 |
12 |
$278.07 |
| A7039 |
Filter, non disposable w pap |
14 |
13 |
$27.40 |