| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,259 |
11,147 |
$463K |
| E0466 |
Home vent non-invasive inter |
1,168 |
1,052 |
$321K |
| E0431 |
Portable gaseous 02 |
3,477 |
3,091 |
$22K |
| E0570 |
Nebulizer with compression |
1,697 |
1,563 |
$10K |
| A7031 |
Replacement facemask interfa |
268 |
255 |
$8K |
| A7038 |
Pos airway pressure filter |
865 |
792 |
$3K |
| E0601 |
Cont airway pressure device |
94 |
86 |
$3K |
| K0001 |
Standard wheelchair |
180 |
169 |
$2K |
| E0562 |
Humidifier heated used w pap |
151 |
139 |
$1K |
| A7030 |
Cpap full face mask |
13 |
12 |
$594.93 |
| A7003 |
Nebulizer administration set |
773 |
699 |
$524.13 |
| A7037 |
Pos airway pressure tubing |
28 |
27 |
$357.64 |
| E1392 |
Portable oxygen concentrator |
41 |
36 |
$231.42 |
| E0443 |
Portable 02 contents, gas |
13 |
12 |
$150.34 |