| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,382 |
1,274 |
$128K |
| E0570 |
Nebulizer with compression |
1,012 |
941 |
$71K |
| E0601 |
Cont airway pressure device |
779 |
731 |
$42K |
| E0431 |
Portable gaseous 02 |
1,157 |
1,100 |
$22K |
| E0470 |
Rad w/o backup non-inv intfc |
118 |
101 |
$11K |
| A4627 |
Spacer bag/reservoir |
377 |
363 |
$11K |
| L3908 |
Who cock-up nonmolde pre ots |
228 |
181 |
$7K |
| A7030 |
Cpap full face mask |
60 |
55 |
$7K |
| A7035 |
Pos airway press headgear |
295 |
272 |
$6K |
| A7037 |
Pos airway pressure tubing |
269 |
246 |
$6K |
| K0001 |
Standard wheelchair |
162 |
161 |
$4K |
| A7038 |
Pos airway pressure filter |
426 |
392 |
$3K |
| E0562 |
Humidifier heated used w pap |
14 |
13 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
39 |
39 |
$2K |
| A7003 |
Nebulizer administration set |
568 |
554 |
$2K |
| A7046 |
Repl water chamber, pap dev |
94 |
83 |
$971.34 |
| A7015 |
Aerosol mask used w nebulize |
460 |
451 |
$887.34 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$422.30 |