| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,792 |
6,220 |
$284K |
| E0431 |
Portable gaseous 02 |
6,634 |
4,517 |
$50K |
| E0466 |
Home vent non-invasive inter |
257 |
236 |
$36K |
| E0570 |
Nebulizer with compression |
1,762 |
1,474 |
$22K |
| E0260 |
Hosp bed semi-electr w/ matt |
747 |
603 |
$11K |
| E0114 |
Crutch underarm pair no wood |
137 |
70 |
$2K |
| E0601 |
Cont airway pressure device |
244 |
213 |
$2K |
| K0003 |
Lightweight wheelchair |
269 |
251 |
$1K |
| E1392 |
Portable oxygen concentrator |
282 |
231 |
$648.10 |
| A7038 |
Pos airway pressure filter |
168 |
152 |
$476.93 |
| A7005 |
Nondisposable nebulizer set |
59 |
39 |
$411.02 |
| E1240 |
Whchr litwt det arm leg rest |
40 |
39 |
$408.32 |
| L3908 |
Who cock-up nonmolde pre ots |
21 |
13 |
$315.19 |
| A4604 |
Tubing with heating element |
30 |
28 |
$202.08 |
| A7035 |
Pos airway press headgear |
68 |
65 |
$159.44 |
| A7030 |
Cpap full face mask |
13 |
13 |
$67.92 |