| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
945 |
907 |
$65K |
| E0601 |
Cont airway pressure device |
1,291 |
1,237 |
$52K |
| E0570 |
Nebulizer with compression |
522 |
517 |
$18K |
| E1392 |
Portable oxygen concentrator |
533 |
524 |
$14K |
| E0470 |
Rad w/o backup non-inv intfc |
65 |
65 |
$5K |
| A4604 |
Tubing with heating element |
149 |
146 |
$4K |
| E0118 |
Crutch substitute |
91 |
90 |
$3K |
| A7031 |
Replacement facemask interfa |
73 |
72 |
$2K |
| A7038 |
Pos airway pressure filter |
477 |
429 |
$2K |
| K0738 |
Portable gas oxygen system |
53 |
50 |
$2K |
| K0001 |
Standard wheelchair |
79 |
61 |
$1K |
| A7005 |
Nondisposable nebulizer set |
48 |
44 |
$889.23 |
| A7035 |
Pos airway press headgear |
50 |
49 |
$663.39 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$626.51 |
| A7015 |
Aerosol mask used w nebulize |
30 |
27 |
$37.55 |