| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,054 |
13,587 |
$576K |
| E0431 |
Portable gaseous 02 |
6,657 |
5,867 |
$350K |
| E0601 |
Cont airway pressure device |
7,066 |
6,325 |
$187K |
| A7030 |
Cpap full face mask |
1,954 |
1,870 |
$160K |
| K0738 |
Portable gas oxygen system |
1,654 |
1,471 |
$77K |
| E0562 |
Humidifier heated used w pap |
2,716 |
2,513 |
$66K |
| E0570 |
Nebulizer with compression |
3,566 |
3,363 |
$48K |
| A7035 |
Pos airway press headgear |
2,427 |
2,323 |
$47K |
| E0470 |
Rad w/o backup non-inv intfc |
843 |
689 |
$43K |
| A7037 |
Pos airway pressure tubing |
2,115 |
2,006 |
$33K |
| K0001 |
Standard wheelchair |
2,671 |
2,337 |
$30K |
| E1392 |
Portable oxygen concentrator |
3,091 |
2,952 |
$24K |
| A7038 |
Pos airway pressure filter |
3,738 |
3,547 |
$20K |
| T2029 |
Special med equip, noswaiver |
121 |
114 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
618 |
531 |
$16K |
| A7034 |
Nasal application device |
222 |
205 |
$9K |
| A4604 |
Tubing with heating element |
399 |
385 |
$8K |
| A7031 |
Replacement facemask interfa |
175 |
169 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
181 |
166 |
$4K |
| A7003 |
Nebulizer administration set |
912 |
884 |
$3K |
| A4351 |
Straight tip urine catheter |
17 |
12 |
$1K |
| A6402 |
Sterile gauze <= 16 sq in |
20 |
12 |
$8.31 |