| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,065 |
2,368 |
$134K |
| E0601 |
Cont airway pressure device |
2,476 |
2,294 |
$110K |
| E0466 |
Home vent non-invasive inter |
93 |
61 |
$40K |
| E0431 |
Portable gaseous 02 |
575 |
505 |
$16K |
| K0001 |
Standard wheelchair |
657 |
634 |
$14K |
| E0562 |
Humidifier heated used w pap |
997 |
969 |
$12K |
| E0570 |
Nebulizer with compression |
108 |
91 |
$2K |
| A7038 |
Pos airway pressure filter |
215 |
195 |
$2K |
| A7034 |
Nasal application device |
41 |
37 |
$1K |
| K0738 |
Portable gas oxygen system |
114 |
84 |
$1K |
| A7035 |
Pos airway press headgear |
101 |
90 |
$990.45 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$413.44 |
| E1392 |
Portable oxygen concentrator |
13 |
12 |
$135.00 |
| A7037 |
Pos airway pressure tubing |
17 |
12 |
$130.76 |