| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,855 |
5,054 |
$252K |
| E0470 |
Rad w/o backup non-inv intfc |
791 |
692 |
$58K |
| E0431 |
Portable gaseous 02 |
4,079 |
3,599 |
$40K |
| E0443 |
Portable 02 contents, gas |
778 |
710 |
$26K |
| E0601 |
Cont airway pressure device |
663 |
609 |
$21K |
| E0562 |
Humidifier heated used w pap |
1,601 |
1,444 |
$15K |
| E0570 |
Nebulizer with compression |
326 |
300 |
$7K |
| A4604 |
Tubing with heating element |
163 |
152 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
147 |
132 |
$4K |
| A7035 |
Pos airway press headgear |
144 |
134 |
$2K |
| A7038 |
Pos airway pressure filter |
199 |
177 |
$607.35 |
| A7003 |
Nebulizer administration set |
13 |
13 |
$23.25 |