| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,348 |
9,319 |
$402K |
| E0431 |
Portable gaseous 02 |
5,382 |
5,363 |
$47K |
| A7031 |
Replacement facemask interfa |
1,376 |
1,366 |
$39K |
| A7030 |
Cpap full face mask |
876 |
872 |
$34K |
| E0601 |
Cont airway pressure device |
1,059 |
1,058 |
$20K |
| E0570 |
Nebulizer with compression |
1,438 |
1,438 |
$10K |
| E0562 |
Humidifier heated used w pap |
1,300 |
1,298 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,357 |
1,349 |
$6K |
| A7035 |
Pos airway press headgear |
753 |
750 |
$5K |
| A7038 |
Pos airway pressure filter |
2,219 |
2,196 |
$4K |
| A7046 |
Repl water chamber, pap dev |
118 |
118 |
$473.32 |
| K0001 |
Standard wheelchair |
38 |
38 |
$457.68 |
| A7003 |
Nebulizer administration set |
41 |
40 |
$38.53 |