| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,660 |
2,598 |
$42K |
| K0738 |
Portable gas oxygen system |
1,370 |
1,334 |
$34K |
| A7030 |
Cpap full face mask |
199 |
188 |
$15K |
| E0260 |
Hosp bed semi-electr w/ matt |
776 |
750 |
$12K |
| A7031 |
Replacement facemask interfa |
165 |
152 |
$10K |
| A4604 |
Tubing with heating element |
327 |
305 |
$8K |
| A7038 |
Pos airway pressure filter |
419 |
386 |
$6K |
| E1392 |
Portable oxygen concentrator |
649 |
640 |
$5K |
| E0570 |
Nebulizer with compression |
1,261 |
1,196 |
$3K |
| A7035 |
Pos airway press headgear |
182 |
175 |
$2K |
| A7046 |
Repl water chamber, pap dev |
127 |
120 |
$2K |
| A7034 |
Nasal application device |
31 |
28 |
$1K |
| E0601 |
Cont airway pressure device |
24 |
24 |
$735.29 |
| K0001 |
Standard wheelchair |
38 |
38 |
$656.96 |
| A7032 |
Replacement nasal cushion |
14 |
12 |
$620.84 |
| A7003 |
Nebulizer administration set |
264 |
207 |
$234.50 |