| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
25,211 |
22,798 |
$842K |
| E0431 |
Portable gaseous 02 |
14,420 |
12,987 |
$292K |
| E0601 |
Cont airway pressure device |
2,040 |
1,731 |
$34K |
| E0570 |
Nebulizer with compression |
5,495 |
5,005 |
$20K |
| K0001 |
Standard wheelchair |
2,132 |
1,694 |
$17K |
| E0562 |
Humidifier heated used w pap |
1,131 |
947 |
$13K |
| A7038 |
Pos airway pressure filter |
3,639 |
3,298 |
$10K |
| A7031 |
Replacement facemask interfa |
531 |
440 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,011 |
926 |
$6K |
| A7030 |
Cpap full face mask |
213 |
183 |
$6K |
| E1392 |
Portable oxygen concentrator |
702 |
630 |
$4K |
| A7035 |
Pos airway press headgear |
441 |
374 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
203 |
196 |
$3K |
| E0443 |
Portable 02 contents, gas |
53 |
51 |
$1K |
| A7003 |
Nebulizer administration set |
1,088 |
967 |
$836.87 |
| Q0513 |
Disp fee inhal drugs/30 days |
60 |
52 |
$566.78 |
| E0143 |
Walker folding wheeled w/o s |
14 |
12 |
$478.80 |
| A7046 |
Repl water chamber, pap dev |
93 |
88 |
$447.26 |
| A7034 |
Nasal application device |
15 |
12 |
$430.66 |
| A7033 |
Replacement nasal pillows |
24 |
24 |
$301.69 |
| J7620 |
Albuterol ipratrop non-comp |
16 |
13 |
$31.95 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$12.72 |