| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,081 |
1,939 |
$132K |
| E0570 |
Nebulizer with compression |
2,623 |
2,373 |
$107K |
| E0443 |
Portable 02 contents, gas |
1,219 |
1,024 |
$43K |
| E0601 |
Cont airway pressure device |
1,063 |
971 |
$38K |
| E0431 |
Portable gaseous 02 |
1,533 |
1,445 |
$18K |
| E0562 |
Humidifier heated used w pap |
954 |
869 |
$9K |
| T4524 |
Adult size brief/diaper xl |
69 |
64 |
$7K |
| A7005 |
Nondisposable nebulizer set |
146 |
136 |
$3K |
| A7003 |
Nebulizer administration set |
1,548 |
1,391 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,928 |
1,746 |
$2K |
| T4522 |
Adult size brief/diaper med |
18 |
12 |
$1K |
| A7038 |
Pos airway pressure filter |
49 |
41 |
$502.14 |
| K0001 |
Standard wheelchair |
26 |
25 |
$424.43 |
| A7035 |
Pos airway press headgear |
29 |
25 |
$239.21 |
| A7037 |
Pos airway pressure tubing |
15 |
14 |
$221.50 |