| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,116 |
6,509 |
$155K |
| E0431 |
Portable gaseous 02 |
4,300 |
3,970 |
$22K |
| E0601 |
Cont airway pressure device |
1,112 |
966 |
$18K |
| E0570 |
Nebulizer with compression |
1,646 |
1,488 |
$16K |
| A7034 |
Nasal application device |
391 |
330 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,556 |
1,297 |
$7K |
| A7031 |
Replacement facemask interfa |
805 |
632 |
$7K |
| A7038 |
Pos airway pressure filter |
3,141 |
2,746 |
$7K |
| A7030 |
Cpap full face mask |
353 |
281 |
$7K |
| E1392 |
Portable oxygen concentrator |
704 |
655 |
$4K |
| A7035 |
Pos airway press headgear |
617 |
482 |
$4K |
| E0562 |
Humidifier heated used w pap |
307 |
247 |
$4K |
| K0001 |
Standard wheelchair |
457 |
417 |
$3K |
| A7032 |
Replacement nasal cushion |
216 |
198 |
$3K |
| A7039 |
Filter, non disposable w pap |
482 |
383 |
$1K |
| A7046 |
Repl water chamber, pap dev |
248 |
192 |
$707.91 |
| E0260 |
Hosp bed semi-electr w/ matt |
29 |
26 |
$676.36 |
| A7003 |
Nebulizer administration set |
503 |
446 |
$647.07 |