| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,666 |
3,657 |
$181K |
| E0570 |
Nebulizer with compression |
2,107 |
2,105 |
$83K |
| E0601 |
Cont airway pressure device |
1,685 |
1,685 |
$65K |
| E0431 |
Portable gaseous 02 |
2,656 |
2,649 |
$24K |
| E0562 |
Humidifier heated used w pap |
861 |
861 |
$22K |
| E0470 |
Rad w/o backup non-inv intfc |
121 |
121 |
$18K |
| A7030 |
Cpap full face mask |
312 |
311 |
$14K |
| E0114 |
Crutch underarm pair no wood |
182 |
182 |
$9K |
| A7035 |
Pos airway press headgear |
471 |
471 |
$6K |
| K0001 |
Standard wheelchair |
369 |
369 |
$5K |
| A7034 |
Nasal application device |
115 |
115 |
$4K |
| A4604 |
Tubing with heating element |
628 |
626 |
$4K |
| A7038 |
Pos airway pressure filter |
959 |
957 |
$3K |
| A7031 |
Replacement facemask interfa |
140 |
137 |
$2K |
| A7046 |
Repl water chamber, pap dev |
231 |
230 |
$2K |
| A7005 |
Nondisposable nebulizer set |
26 |
26 |
$543.93 |
| A7037 |
Pos airway pressure tubing |
14 |
14 |
$405.77 |
| A7003 |
Nebulizer administration set |
151 |
151 |
$393.47 |
| E0260 |
Hosp bed semi-electr w/ matt |
12 |
12 |
$278.99 |
| A7013 |
Disposable compressor filter |
133 |
132 |
$174.14 |