| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,533 |
3,279 |
$95K |
| A7030 |
Cpap full face mask |
476 |
436 |
$21K |
| E0601 |
Cont airway pressure device |
906 |
822 |
$20K |
| E0431 |
Portable gaseous 02 |
2,273 |
2,121 |
$13K |
| A7031 |
Replacement facemask interfa |
324 |
297 |
$5K |
| A7037 |
Pos airway pressure tubing |
694 |
640 |
$5K |
| E0562 |
Humidifier heated used w pap |
205 |
176 |
$4K |
| E0443 |
Portable 02 contents, gas |
746 |
721 |
$3K |
| A7035 |
Pos airway press headgear |
366 |
345 |
$3K |
| K0823 |
Pwc gp 2 std cap chair |
162 |
161 |
$2K |
| E0570 |
Nebulizer with compression |
448 |
429 |
$2K |
| A7038 |
Pos airway pressure filter |
828 |
773 |
$2K |
| A7034 |
Nasal application device |
46 |
39 |
$1K |
| K0003 |
Lightweight wheelchair |
179 |
160 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
92 |
90 |
$1K |
| A7039 |
Filter, non disposable w pap |
325 |
297 |
$1K |
| E0181 |
Press pad alternating w/ pum |
92 |
90 |
$264.01 |
| E0910 |
Trapeze bar attached to bed |
12 |
12 |
$37.51 |