| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,232 |
3,647 |
$83K |
| E0570 |
Nebulizer with compression |
2,416 |
2,205 |
$14K |
| E0601 |
Cont airway pressure device |
554 |
509 |
$13K |
| E0431 |
Portable gaseous 02 |
2,401 |
2,065 |
$9K |
| K0001 |
Standard wheelchair |
1,113 |
1,021 |
$7K |
| E0562 |
Humidifier heated used w pap |
565 |
540 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
356 |
343 |
$3K |
| A7031 |
Replacement facemask interfa |
199 |
192 |
$3K |
| A7030 |
Cpap full face mask |
93 |
89 |
$3K |
| A7035 |
Pos airway press headgear |
259 |
243 |
$2K |
| A7038 |
Pos airway pressure filter |
655 |
624 |
$2K |
| A4604 |
Tubing with heating element |
70 |
69 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
16 |
12 |
$528.98 |
| A7037 |
Pos airway pressure tubing |
60 |
54 |
$345.11 |
| A7003 |
Nebulizer administration set |
103 |
95 |
$217.44 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$10.71 |