| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,234 |
4,222 |
$209K |
| E0601 |
Cont airway pressure device |
1,646 |
1,643 |
$31K |
| E0431 |
Portable gaseous 02 |
2,566 |
2,562 |
$28K |
| E0570 |
Nebulizer with compression |
1,316 |
1,310 |
$25K |
| K0001 |
Standard wheelchair |
1,369 |
1,367 |
$22K |
| E0470 |
Rad w/o backup non-inv intfc |
448 |
442 |
$21K |
| E0562 |
Humidifier heated used w pap |
515 |
515 |
$10K |
| A7030 |
Cpap full face mask |
276 |
276 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
209 |
209 |
$8K |
| E0261 |
Hosp bed semi-electr w/o mat |
366 |
365 |
$7K |
| E1392 |
Portable oxygen concentrator |
685 |
682 |
$7K |
| A7035 |
Pos airway press headgear |
432 |
432 |
$3K |
| A4604 |
Tubing with heating element |
299 |
299 |
$2K |
| A7038 |
Pos airway pressure filter |
654 |
654 |
$2K |
| A7005 |
Nondisposable nebulizer set |
70 |
70 |
$1K |
| E0118 |
Crutch substitute |
12 |
12 |
$1K |
| A7031 |
Replacement facemask interfa |
115 |
115 |
$1K |
| A7046 |
Repl water chamber, pap dev |
16 |
16 |
$49.75 |