| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,492 |
15,923 |
$752K |
| E0431 |
Portable gaseous 02 |
14,707 |
14,342 |
$146K |
| E0601 |
Cont airway pressure device |
1,474 |
1,433 |
$63K |
| E0562 |
Humidifier heated used w pap |
522 |
515 |
$17K |
| E0570 |
Nebulizer with compression |
1,972 |
1,933 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
380 |
340 |
$10K |
| K0001 |
Standard wheelchair |
274 |
259 |
$5K |
| A7038 |
Pos airway pressure filter |
637 |
590 |
$4K |
| K0195 |
Elevating whlchair leg rests |
200 |
194 |
$1K |
| E0163 |
Commode chair with fixed arm |
38 |
38 |
$1K |
| A7037 |
Pos airway pressure tubing |
55 |
53 |
$1K |
| A4604 |
Tubing with heating element |
49 |
49 |
$1K |
| A7031 |
Replacement facemask interfa |
27 |
24 |
$1K |