| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,916 |
5,306 |
$430K |
| E0601 |
Cont airway pressure device |
4,594 |
4,291 |
$331K |
| A7030 |
Cpap full face mask |
2,172 |
1,875 |
$173K |
| E0562 |
Humidifier heated used w pap |
833 |
706 |
$141K |
| A7034 |
Nasal application device |
2,671 |
2,369 |
$106K |
| A7031 |
Replacement facemask interfa |
2,468 |
2,150 |
$82K |
| E0470 |
Rad w/o backup non-inv intfc |
610 |
578 |
$72K |
| E0431 |
Portable gaseous 02 |
4,253 |
3,886 |
$66K |
| A7035 |
Pos airway press headgear |
2,670 |
2,342 |
$50K |
| A7032 |
Replacement nasal cushion |
1,974 |
1,775 |
$48K |
| A7038 |
Pos airway pressure filter |
6,063 |
5,382 |
$35K |
| A7033 |
Replacement nasal pillows |
962 |
847 |
$22K |
| E0143 |
Walker folding wheeled w/o s |
367 |
333 |
$21K |
| K0001 |
Standard wheelchair |
631 |
579 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,791 |
1,567 |
$16K |
| K0738 |
Portable gas oxygen system |
658 |
616 |
$13K |
| A4604 |
Tubing with heating element |
3,720 |
3,270 |
$10K |
| E0570 |
Nebulizer with compression |
233 |
205 |
$8K |
| A7037 |
Pos airway pressure tubing |
933 |
791 |
$3K |
| A7039 |
Filter, non disposable w pap |
215 |
194 |
$2K |
| E1392 |
Portable oxygen concentrator |
201 |
192 |
$989.86 |
| K0195 |
Elevating whlchair leg rests |
14 |
12 |
$154.58 |