| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,634 |
7,773 |
$274K |
| E0431 |
Portable gaseous 02 |
7,388 |
5,913 |
$32K |
| E0601 |
Cont airway pressure device |
1,032 |
824 |
$21K |
| E0466 |
Home vent non-invasive inter |
185 |
106 |
$19K |
| E0570 |
Nebulizer with compression |
3,602 |
2,811 |
$16K |
| E0261 |
Hosp bed semi-electr w/o mat |
582 |
505 |
$8K |
| E1392 |
Portable oxygen concentrator |
337 |
298 |
$3K |
| A7038 |
Pos airway pressure filter |
947 |
644 |
$3K |
| A7037 |
Pos airway pressure tubing |
654 |
473 |
$3K |
| K0001 |
Standard wheelchair |
332 |
269 |
$2K |
| E0562 |
Humidifier heated used w pap |
203 |
167 |
$2K |
| A7035 |
Pos airway press headgear |
173 |
129 |
$823.16 |
| A7030 |
Cpap full face mask |
19 |
16 |
$358.63 |
| A7031 |
Replacement facemask interfa |
25 |
14 |
$180.37 |
| E0143 |
Walker folding wheeled w/o s |
13 |
12 |
$159.31 |
| A7039 |
Filter, non disposable w pap |
32 |
27 |
$50.62 |
| A9279 |
Monitoring feature/devicenoc |
264 |
183 |
$48.04 |