| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,603 |
12,187 |
$454K |
| E0431 |
Portable gaseous 02 |
6,681 |
5,943 |
$82K |
| E0466 |
Home vent non-invasive inter |
166 |
141 |
$42K |
| E0601 |
Cont airway pressure device |
782 |
632 |
$20K |
| E0570 |
Nebulizer with compression |
3,300 |
2,948 |
$15K |
| E1392 |
Portable oxygen concentrator |
1,025 |
929 |
$10K |
| A7031 |
Replacement facemask interfa |
348 |
259 |
$8K |
| E0562 |
Humidifier heated used w pap |
866 |
699 |
$8K |
| A7037 |
Pos airway pressure tubing |
660 |
582 |
$5K |
| A7038 |
Pos airway pressure filter |
1,772 |
1,271 |
$4K |
| E0443 |
Portable 02 contents, gas |
276 |
169 |
$2K |
| A7030 |
Cpap full face mask |
47 |
37 |
$2K |
| A7003 |
Nebulizer administration set |
1,302 |
1,148 |
$1K |
| A7035 |
Pos airway press headgear |
52 |
49 |
$387.88 |
| A7034 |
Nasal application device |
12 |
12 |
$305.49 |
| A7046 |
Repl water chamber, pap dev |
27 |
26 |
$133.76 |
| K0001 |
Standard wheelchair |
13 |
13 |
$56.20 |