| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,568 |
3,717 |
$114K |
| E0431 |
Portable gaseous 02 |
3,287 |
2,625 |
$28K |
| E0601 |
Cont airway pressure device |
479 |
390 |
$11K |
| E0562 |
Humidifier heated used w pap |
492 |
414 |
$3K |
| E0570 |
Nebulizer with compression |
480 |
384 |
$1K |
| E1392 |
Portable oxygen concentrator |
222 |
199 |
$934.75 |
| K0001 |
Standard wheelchair |
76 |
63 |
$538.69 |
| A7038 |
Pos airway pressure filter |
259 |
224 |
$120.65 |
| A7037 |
Pos airway pressure tubing |
99 |
86 |
$43.95 |
| A7046 |
Repl water chamber, pap dev |
17 |
13 |
$19.20 |
| A7035 |
Pos airway press headgear |
32 |
26 |
$19.09 |