| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2402 |
Neg press wound therapy pump |
197 |
181 |
$115K |
| E1390 |
Oxygen concentrator |
2,816 |
2,394 |
$106K |
| E0601 |
Cont airway pressure device |
2,071 |
1,778 |
$41K |
| A6550 |
Neg pres wound ther drsg set |
69 |
56 |
$13K |
| E0431 |
Portable gaseous 02 |
2,080 |
1,703 |
$10K |
| A7030 |
Cpap full face mask |
220 |
176 |
$6K |
| E0562 |
Humidifier heated used w pap |
359 |
336 |
$3K |
| A7037 |
Pos airway pressure tubing |
545 |
456 |
$3K |
| A7000 |
Disposable canister for pump |
68 |
54 |
$3K |
| A7031 |
Replacement facemask interfa |
151 |
122 |
$2K |
| A7038 |
Pos airway pressure filter |
941 |
753 |
$2K |
| A7035 |
Pos airway press headgear |
153 |
128 |
$1K |
| K0001 |
Standard wheelchair |
83 |
81 |
$774.55 |
| E0470 |
Rad w/o backup non-inv intfc |
38 |
36 |
$673.70 |
| A9279 |
Monitoring feature/devicenoc |
326 |
286 |
$193.30 |
| A7039 |
Filter, non disposable w pap |
41 |
27 |
$83.47 |
| E0570 |
Nebulizer with compression |
13 |
12 |
$53.88 |