| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,833 |
8,199 |
$247K |
| K0738 |
Portable gas oxygen system |
3,673 |
3,118 |
$33K |
| E0601 |
Cont airway pressure device |
1,154 |
965 |
$26K |
| E0260 |
Hosp bed semi-electr w/ matt |
500 |
295 |
$14K |
| E0431 |
Portable gaseous 02 |
1,274 |
1,043 |
$9K |
| A7030 |
Cpap full face mask |
158 |
123 |
$5K |
| K0001 |
Standard wheelchair |
646 |
542 |
$5K |
| A7038 |
Pos airway pressure filter |
978 |
784 |
$4K |
| A7037 |
Pos airway pressure tubing |
481 |
411 |
$3K |
| A7031 |
Replacement facemask interfa |
127 |
99 |
$2K |
| A7035 |
Pos airway press headgear |
229 |
180 |
$2K |
| E1392 |
Portable oxygen concentrator |
499 |
266 |
$1K |
| A7034 |
Nasal application device |
46 |
24 |
$706.87 |
| E0570 |
Nebulizer with compression |
188 |
184 |
$244.26 |
| A7046 |
Repl water chamber, pap dev |
35 |
32 |
$241.37 |