| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,741 |
1,552 |
$56K |
| E0601 |
Cont airway pressure device |
2,193 |
1,978 |
$51K |
| E0570 |
Nebulizer with compression |
995 |
908 |
$27K |
| A7037 |
Pos airway pressure tubing |
1,322 |
1,229 |
$14K |
| E0431 |
Portable gaseous 02 |
421 |
398 |
$9K |
| A7030 |
Cpap full face mask |
135 |
129 |
$8K |
| A7038 |
Pos airway pressure filter |
1,918 |
1,521 |
$6K |
| A7035 |
Pos airway press headgear |
751 |
707 |
$6K |
| A7031 |
Replacement facemask interfa |
143 |
138 |
$3K |
| K0001 |
Standard wheelchair |
184 |
167 |
$3K |
| A7039 |
Filter, non disposable w pap |
421 |
405 |
$1K |
| A7005 |
Nondisposable nebulizer set |
32 |
30 |
$558.34 |
| A7034 |
Nasal application device |
14 |
14 |
$479.08 |
| K0003 |
Lightweight wheelchair |
25 |
25 |
$309.99 |
| E0310 |
Rails bed side full length |
12 |
12 |
$198.29 |
| A7015 |
Aerosol mask used w nebulize |
31 |
29 |
$43.74 |
| A7003 |
Nebulizer administration set |
32 |
30 |
$3.64 |