| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,107 |
5,829 |
$109K |
| E0601 |
Cont airway pressure device |
1,704 |
1,317 |
$18K |
| A7030 |
Cpap full face mask |
680 |
488 |
$15K |
| E0431 |
Portable gaseous 02 |
4,751 |
3,416 |
$14K |
| A4604 |
Tubing with heating element |
1,135 |
844 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,451 |
1,004 |
$11K |
| A7031 |
Replacement facemask interfa |
1,371 |
988 |
$11K |
| K0001 |
Standard wheelchair |
3,132 |
2,175 |
$11K |
| E0562 |
Humidifier heated used w pap |
2,943 |
2,176 |
$8K |
| E1392 |
Portable oxygen concentrator |
1,311 |
973 |
$7K |
| E0570 |
Nebulizer with compression |
4,661 |
3,224 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
169 |
134 |
$3K |
| A7038 |
Pos airway pressure filter |
2,159 |
1,603 |
$2K |
| A7035 |
Pos airway press headgear |
464 |
345 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
307 |
194 |
$2K |
| A7046 |
Repl water chamber, pap dev |
50 |
37 |
$85.85 |
| A7005 |
Nondisposable nebulizer set |
19 |
12 |
$40.00 |