| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,658 |
1,654 |
$93K |
| E0601 |
Cont airway pressure device |
1,754 |
1,752 |
$75K |
| E0570 |
Nebulizer with compression |
658 |
655 |
$20K |
| E0562 |
Humidifier heated used w pap |
1,714 |
1,713 |
$14K |
| E0431 |
Portable gaseous 02 |
959 |
958 |
$12K |
| A7034 |
Nasal application device |
158 |
156 |
$4K |
| A7038 |
Pos airway pressure filter |
779 |
775 |
$4K |
| K0001 |
Standard wheelchair |
191 |
191 |
$3K |
| A7035 |
Pos airway press headgear |
123 |
122 |
$2K |
| A4604 |
Tubing with heating element |
78 |
78 |
$1K |
| A7037 |
Pos airway pressure tubing |
36 |
36 |
$671.68 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$194.33 |
| A7046 |
Repl water chamber, pap dev |
43 |
43 |
$136.25 |