| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,361 |
4,135 |
$170K |
| E0601 |
Cont airway pressure device |
2,345 |
2,218 |
$89K |
| E0562 |
Humidifier heated used w pap |
2,247 |
2,135 |
$26K |
| E0431 |
Portable gaseous 02 |
2,968 |
2,819 |
$25K |
| A7031 |
Replacement facemask interfa |
851 |
826 |
$23K |
| E0570 |
Nebulizer with compression |
803 |
726 |
$20K |
| A7037 |
Pos airway pressure tubing |
930 |
909 |
$9K |
| A7035 |
Pos airway press headgear |
564 |
551 |
$8K |
| A7038 |
Pos airway pressure filter |
1,752 |
1,702 |
$6K |
| K0738 |
Portable gas oxygen system |
237 |
227 |
$5K |
| A7033 |
Replacement nasal pillows |
134 |
129 |
$3K |
| A7030 |
Cpap full face mask |
39 |
37 |
$3K |
| A7034 |
Nasal application device |
45 |
42 |
$2K |
| A7005 |
Nondisposable nebulizer set |
87 |
85 |
$1K |
| K0001 |
Standard wheelchair |
53 |
40 |
$575.86 |
| A7046 |
Repl water chamber, pap dev |
65 |
64 |
$421.02 |
| E0260 |
Hosp bed semi-electr w/ matt |
13 |
13 |
$148.08 |
| A7015 |
Aerosol mask used w nebulize |
136 |
129 |
$141.11 |