| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,544 |
10,928 |
$597K |
| E1392 |
Portable oxygen concentrator |
4,992 |
4,328 |
$85K |
| E0424 |
Stationary compressed gas 02 |
931 |
859 |
$83K |
| A7030 |
Cpap full face mask |
1,383 |
1,172 |
$83K |
| E0431 |
Portable gaseous 02 |
6,227 |
5,504 |
$72K |
| E0601 |
Cont airway pressure device |
998 |
857 |
$49K |
| A7031 |
Replacement facemask interfa |
2,015 |
1,608 |
$45K |
| A4604 |
Tubing with heating element |
1,700 |
1,443 |
$42K |
| E0143 |
Walker folding wheeled w/o s |
823 |
701 |
$17K |
| A7035 |
Pos airway press headgear |
1,112 |
938 |
$15K |
| A7034 |
Nasal application device |
356 |
306 |
$14K |
| E0562 |
Humidifier heated used w pap |
92 |
81 |
$10K |
| A7038 |
Pos airway pressure filter |
2,914 |
2,341 |
$9K |
| K0738 |
Portable gas oxygen system |
428 |
399 |
$9K |
| A7046 |
Repl water chamber, pap dev |
940 |
812 |
$8K |
| A7032 |
Replacement nasal cushion |
394 |
328 |
$8K |
| K0001 |
Standard wheelchair |
478 |
353 |
$5K |
| E0570 |
Nebulizer with compression |
787 |
692 |
$4K |
| E0600 |
Suction pump portab hom modl |
81 |
75 |
$4K |
| E0971 |
Wheelchair anti-tipping devi |
489 |
244 |
$2K |
| E0951 |
Loop heel |
29 |
12 |
$76.72 |