| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,458 |
18,339 |
$1.48M |
| E0570 |
Nebulizer with compression |
4,295 |
4,287 |
$144K |
| E0431 |
Portable gaseous 02 |
8,255 |
8,185 |
$126K |
| E0466 |
Home vent non-invasive inter |
362 |
359 |
$108K |
| E0601 |
Cont airway pressure device |
838 |
821 |
$43K |
| K0001 |
Standard wheelchair |
1,131 |
1,124 |
$28K |
| E0143 |
Walker folding wheeled w/o s |
313 |
313 |
$26K |
| A7030 |
Cpap full face mask |
200 |
199 |
$13K |
| E0562 |
Humidifier heated used w pap |
377 |
375 |
$7K |
| A7031 |
Replacement facemask interfa |
201 |
198 |
$7K |
| A7037 |
Pos airway pressure tubing |
838 |
835 |
$6K |
| E0603 |
Electric breast pump |
31 |
31 |
$5K |
| A7035 |
Pos airway press headgear |
381 |
380 |
$4K |
| A7038 |
Pos airway pressure filter |
1,421 |
1,413 |
$4K |
| A7005 |
Nondisposable nebulizer set |
174 |
174 |
$3K |
| A7003 |
Nebulizer administration set |
346 |
346 |
$510.95 |
| A7034 |
Nasal application device |
12 |
12 |
$437.57 |
| A7039 |
Filter, non disposable w pap |
216 |
216 |
$370.19 |
| A4450 |
Non-waterproof tape |
26 |
25 |
$94.14 |
| A7013 |
Disposable compressor filter |
192 |
192 |
$19.89 |
| K0195 |
Elevating whlchair leg rests |
12 |
12 |
$13.54 |