| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,388 |
8,178 |
$258K |
| E0601 |
Cont airway pressure device |
2,826 |
2,474 |
$48K |
| A7030 |
Cpap full face mask |
1,553 |
1,301 |
$41K |
| A4604 |
Tubing with heating element |
2,506 |
2,107 |
$34K |
| A7031 |
Replacement facemask interfa |
2,452 |
2,023 |
$34K |
| E0431 |
Portable gaseous 02 |
6,081 |
5,019 |
$34K |
| A7034 |
Nasal application device |
1,367 |
1,170 |
$29K |
| E0562 |
Humidifier heated used w pap |
896 |
762 |
$17K |
| A7033 |
Replacement nasal pillows |
1,041 |
889 |
$16K |
| E1392 |
Portable oxygen concentrator |
2,057 |
1,729 |
$15K |
| A7032 |
Replacement nasal cushion |
854 |
743 |
$14K |
| E0570 |
Nebulizer with compression |
2,578 |
2,323 |
$12K |
| A7035 |
Pos airway press headgear |
1,667 |
1,420 |
$11K |
| K0001 |
Standard wheelchair |
1,673 |
1,493 |
$11K |
| A7038 |
Pos airway pressure filter |
5,153 |
4,335 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
695 |
629 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,158 |
981 |
$5K |
| K0195 |
Elevating whlchair leg rests |
489 |
431 |
$972.58 |
| A7037 |
Pos airway pressure tubing |
183 |
162 |
$592.92 |
| A7005 |
Nondisposable nebulizer set |
62 |
53 |
$242.12 |
| A7036 |
Pos airway press chinstrap |
15 |
12 |
$93.11 |