| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,245 |
6,030 |
$194K |
| E0431 |
Portable gaseous 02 |
3,473 |
2,523 |
$13K |
| E0601 |
Cont airway pressure device |
538 |
436 |
$13K |
| A7037 |
Pos airway pressure tubing |
561 |
392 |
$2K |
| A7038 |
Pos airway pressure filter |
914 |
649 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
73 |
54 |
$2K |
| E0570 |
Nebulizer with compression |
384 |
316 |
$2K |
| A7030 |
Cpap full face mask |
67 |
50 |
$1K |
| E0562 |
Humidifier heated used w pap |
133 |
116 |
$1K |
| A7035 |
Pos airway press headgear |
95 |
66 |
$353.49 |
| E1392 |
Portable oxygen concentrator |
68 |
62 |
$273.92 |
| A7039 |
Filter, non disposable w pap |
85 |
51 |
$145.20 |
| K0001 |
Standard wheelchair |
14 |
12 |
$8.11 |