| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,233 |
6,565 |
$282K |
| E0431 |
Portable gaseous 02 |
4,354 |
3,920 |
$38K |
| E0601 |
Cont airway pressure device |
796 |
693 |
$18K |
| E0570 |
Nebulizer with compression |
715 |
632 |
$15K |
| E1392 |
Portable oxygen concentrator |
766 |
650 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
394 |
321 |
$9K |
| E0483 |
Hi freq chest wall oscil sys |
13 |
12 |
$7K |
| E0562 |
Humidifier heated used w pap |
705 |
608 |
$5K |
| K0001 |
Standard wheelchair |
294 |
239 |
$2K |
| A7030 |
Cpap full face mask |
37 |
34 |
$2K |
| A7031 |
Replacement facemask interfa |
29 |
28 |
$550.44 |
| A7005 |
Nondisposable nebulizer set |
57 |
49 |
$464.49 |
| A7037 |
Pos airway pressure tubing |
62 |
59 |
$415.96 |
| A7038 |
Pos airway pressure filter |
117 |
110 |
$223.18 |
| A7035 |
Pos airway press headgear |
18 |
16 |
$170.28 |