| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,829 |
10,699 |
$419K |
| E0431 |
Portable gaseous 02 |
6,105 |
6,026 |
$48K |
| A7031 |
Replacement facemask interfa |
1,582 |
1,568 |
$38K |
| A7030 |
Cpap full face mask |
919 |
918 |
$35K |
| E1392 |
Portable oxygen concentrator |
1,158 |
1,145 |
$30K |
| E0601 |
Cont airway pressure device |
1,090 |
1,060 |
$27K |
| E0570 |
Nebulizer with compression |
1,676 |
1,664 |
$13K |
| E0562 |
Humidifier heated used w pap |
1,342 |
1,304 |
$10K |
| A7035 |
Pos airway press headgear |
945 |
941 |
$7K |
| A7038 |
Pos airway pressure filter |
2,924 |
2,899 |
$6K |
| A7037 |
Pos airway pressure tubing |
690 |
689 |
$4K |
| A4604 |
Tubing with heating element |
262 |
261 |
$2K |
| A7034 |
Nasal application device |
93 |
92 |
$2K |
| A7032 |
Replacement nasal cushion |
41 |
41 |
$1K |
| A7046 |
Repl water chamber, pap dev |
441 |
440 |
$988.87 |
| A7003 |
Nebulizer administration set |
857 |
826 |
$983.59 |
| K0001 |
Standard wheelchair |
40 |
40 |
$607.62 |
| E0443 |
Portable 02 contents, gas |
53 |
53 |
$38.12 |