| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,021 |
6,659 |
$227K |
| A7031 |
Replacement facemask interfa |
1,430 |
1,278 |
$41K |
| E0431 |
Portable gaseous 02 |
4,603 |
3,717 |
$29K |
| A7037 |
Pos airway pressure tubing |
1,445 |
1,269 |
$19K |
| E0601 |
Cont airway pressure device |
354 |
272 |
$11K |
| A7038 |
Pos airway pressure filter |
2,701 |
2,364 |
$9K |
| E0562 |
Humidifier heated used w pap |
1,070 |
832 |
$8K |
| A7035 |
Pos airway press headgear |
386 |
319 |
$4K |
| A7032 |
Replacement nasal cushion |
104 |
89 |
$3K |
| A7030 |
Cpap full face mask |
72 |
64 |
$3K |
| E0570 |
Nebulizer with compression |
464 |
374 |
$1K |
| A7034 |
Nasal application device |
37 |
26 |
$971.72 |
| A7046 |
Repl water chamber, pap dev |
117 |
111 |
$926.37 |
| K0001 |
Standard wheelchair |
227 |
189 |
$845.02 |
| A7003 |
Nebulizer administration set |
31 |
29 |
$24.39 |