| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,580 |
4,488 |
$232K |
| E0601 |
Cont airway pressure device |
2,730 |
2,507 |
$114K |
| E0431 |
Portable gaseous 02 |
1,737 |
1,595 |
$62K |
| K0001 |
Standard wheelchair |
1,129 |
1,029 |
$23K |
| E0562 |
Humidifier heated used w pap |
262 |
245 |
$8K |
| E1399 |
Durable medical equipment mi |
292 |
82 |
$6K |
| E0570 |
Nebulizer with compression |
355 |
326 |
$4K |
| E1392 |
Portable oxygen concentrator |
554 |
464 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
41 |
39 |
$3K |
| K0738 |
Portable gas oxygen system |
291 |
222 |
$2K |
| A7038 |
Pos airway pressure filter |
379 |
309 |
$2K |
| A7035 |
Pos airway press headgear |
129 |
111 |
$1K |
| A7030 |
Cpap full face mask |
45 |
40 |
$1K |
| A7037 |
Pos airway pressure tubing |
108 |
79 |
$579.27 |
| A7005 |
Nondisposable nebulizer set |
13 |
12 |
$83.23 |
| A7046 |
Repl water chamber, pap dev |
31 |
28 |
$39.82 |