| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
619 |
516 |
$10K |
| E0601 |
Cont airway pressure device |
382 |
364 |
$7K |
| E0443 |
Portable 02 contents, gas |
420 |
361 |
$3K |
| E0562 |
Humidifier heated used w pap |
443 |
417 |
$2K |
| A7034 |
Nasal application device |
100 |
96 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
184 |
182 |
$2K |
| E0431 |
Portable gaseous 02 |
463 |
368 |
$1K |
| A7035 |
Pos airway press headgear |
335 |
320 |
$727.96 |
| A7030 |
Cpap full face mask |
25 |
25 |
$653.63 |
| K0001 |
Standard wheelchair |
12 |
12 |
$394.90 |
| A7038 |
Pos airway pressure filter |
359 |
338 |
$321.71 |
| A4604 |
Tubing with heating element |
26 |
25 |
$308.73 |
| E0260 |
Hosp bed semi-electr w/ matt |
12 |
12 |
$246.03 |
| A7037 |
Pos airway pressure tubing |
96 |
92 |
$107.77 |
| A7046 |
Repl water chamber, pap dev |
26 |
24 |
$41.73 |