| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,779 |
9,259 |
$249K |
| K0738 |
Portable gas oxygen system |
3,090 |
2,597 |
$35K |
| E0431 |
Portable gaseous 02 |
3,638 |
3,189 |
$32K |
| E1392 |
Portable oxygen concentrator |
2,200 |
1,924 |
$18K |
| E0601 |
Cont airway pressure device |
1,083 |
898 |
$17K |
| K0001 |
Standard wheelchair |
565 |
491 |
$6K |
| E0570 |
Nebulizer with compression |
943 |
809 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
176 |
137 |
$3K |
| A7038 |
Pos airway pressure filter |
1,106 |
868 |
$2K |
| A6550 |
Neg pres wound ther drsg set |
17 |
12 |
$2K |
| A7035 |
Pos airway press headgear |
173 |
125 |
$1K |
| A7034 |
Nasal application device |
40 |
26 |
$676.18 |
| A7030 |
Cpap full face mask |
19 |
13 |
$675.18 |
| A7037 |
Pos airway pressure tubing |
164 |
114 |
$591.04 |
| A7000 |
Disposable canister for pump |
18 |
12 |
$332.68 |
| A7005 |
Nondisposable nebulizer set |
32 |
25 |
$199.03 |
| A7046 |
Repl water chamber, pap dev |
15 |
13 |
$41.16 |
| A7003 |
Nebulizer administration set |
39 |
29 |
$20.69 |
| A7013 |
Disposable compressor filter |
33 |
25 |
$9.81 |