| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,856 |
2,830 |
$176K |
| E0601 |
Cont airway pressure device |
2,563 |
2,557 |
$107K |
| E0431 |
Portable gaseous 02 |
1,933 |
1,923 |
$23K |
| E0570 |
Nebulizer with compression |
850 |
841 |
$19K |
| A4239 |
Non-adju cgm supply allow |
65 |
64 |
$13K |
| E0470 |
Rad w/o backup non-inv intfc |
86 |
86 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
188 |
188 |
$6K |
| K0003 |
Lightweight wheelchair |
173 |
173 |
$5K |
| A7035 |
Pos airway press headgear |
203 |
198 |
$3K |
| A7037 |
Pos airway pressure tubing |
167 |
163 |
$3K |
| A7038 |
Pos airway pressure filter |
442 |
413 |
$2K |
| A7030 |
Cpap full face mask |
40 |
39 |
$2K |
| A7034 |
Nasal application device |
26 |
25 |
$961.47 |
| A4670 |
Automatic bp monitor, dial |
12 |
12 |
$513.98 |
| A7031 |
Replacement facemask interfa |
16 |
13 |
$455.72 |
| A7005 |
Nondisposable nebulizer set |
16 |
16 |
$243.33 |
| A7046 |
Repl water chamber, pap dev |
14 |
14 |
$74.14 |
| A7003 |
Nebulizer administration set |
69 |
68 |
$58.19 |
| A7015 |
Aerosol mask used w nebulize |
15 |
15 |
$14.86 |