| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,574 |
6,462 |
$345K |
| E0431 |
Portable gaseous 02 |
5,525 |
5,427 |
$64K |
| A7031 |
Replacement facemask interfa |
716 |
677 |
$23K |
| K0001 |
Standard wheelchair |
1,121 |
1,091 |
$17K |
| E0466 |
Home vent non-invasive inter |
50 |
48 |
$17K |
| A7038 |
Pos airway pressure filter |
1,086 |
1,032 |
$4K |
| A7030 |
Cpap full face mask |
42 |
37 |
$3K |
| E0601 |
Cont airway pressure device |
59 |
57 |
$3K |
| A7037 |
Pos airway pressure tubing |
200 |
194 |
$2K |
| E0562 |
Humidifier heated used w pap |
140 |
137 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
56 |
53 |
$1K |
| K0003 |
Lightweight wheelchair |
108 |
108 |
$1K |
| E1392 |
Portable oxygen concentrator |
74 |
74 |
$230.91 |
| E0570 |
Nebulizer with compression |
192 |
192 |
$205.51 |
| A7003 |
Nebulizer administration set |
107 |
101 |
$110.16 |