| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,856 |
3,061 |
$123K |
| E0601 |
Cont airway pressure device |
2,717 |
2,207 |
$82K |
| A7030 |
Cpap full face mask |
1,422 |
1,258 |
$71K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,769 |
1,412 |
$39K |
| A4604 |
Tubing with heating element |
1,396 |
1,283 |
$34K |
| A7031 |
Replacement facemask interfa |
1,413 |
1,191 |
$32K |
| E0562 |
Humidifier heated used w pap |
720 |
665 |
$24K |
| K0001 |
Standard wheelchair |
2,258 |
1,741 |
$22K |
| E0431 |
Portable gaseous 02 |
2,321 |
2,035 |
$19K |
| A7035 |
Pos airway press headgear |
1,430 |
1,315 |
$18K |
| A7034 |
Nasal application device |
377 |
358 |
$15K |
| E0570 |
Nebulizer with compression |
367 |
320 |
$11K |
| A7046 |
Repl water chamber, pap dev |
820 |
764 |
$7K |
| A7038 |
Pos airway pressure filter |
3,008 |
2,354 |
$5K |
| A7037 |
Pos airway pressure tubing |
393 |
362 |
$3K |
| E1392 |
Portable oxygen concentrator |
63 |
61 |
$1K |
| A7033 |
Replacement nasal pillows |
28 |
25 |
$374.35 |