| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,279 |
5,190 |
$116K |
| E0601 |
Cont airway pressure device |
1,649 |
1,247 |
$34K |
| E0431 |
Portable gaseous 02 |
4,326 |
3,035 |
$13K |
| E0562 |
Humidifier heated used w pap |
911 |
691 |
$7K |
| E1392 |
Portable oxygen concentrator |
452 |
303 |
$2K |
| A7038 |
Pos airway pressure filter |
595 |
383 |
$1K |
| A7037 |
Pos airway pressure tubing |
152 |
105 |
$502.44 |
| E0143 |
Walker folding wheeled w/o s |
47 |
41 |
$447.16 |
| A7030 |
Cpap full face mask |
30 |
24 |
$341.22 |
| E0470 |
Rad w/o backup non-inv intfc |
55 |
41 |
$177.27 |
| A7035 |
Pos airway press headgear |
33 |
26 |
$146.16 |
| A7031 |
Replacement facemask interfa |
14 |
13 |
$94.59 |
| E0570 |
Nebulizer with compression |
57 |
39 |
$20.15 |
| A4616 |
Tubing (oxygen) per foot |
27 |
24 |
$0.00 |
| A4615 |
Cannula nasal |
27 |
24 |
$0.00 |