| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
422 |
376 |
$24K |
| E0570 |
Nebulizer with compression |
149 |
121 |
$15K |
| E0601 |
Cont airway pressure device |
224 |
206 |
$4K |
| A7034 |
Nasal application device |
62 |
55 |
$2K |
| E0114 |
Crutch underarm pair no wood |
67 |
61 |
$2K |
| E0562 |
Humidifier heated used w pap |
127 |
114 |
$1K |
| A4604 |
Tubing with heating element |
76 |
69 |
$1K |
| K0738 |
Portable gas oxygen system |
93 |
88 |
$1K |
| A7005 |
Nondisposable nebulizer set |
50 |
46 |
$1K |
| E0431 |
Portable gaseous 02 |
132 |
116 |
$1K |
| A7035 |
Pos airway press headgear |
59 |
53 |
$600.66 |
| A7038 |
Pos airway pressure filter |
187 |
142 |
$582.32 |
| A7003 |
Nebulizer administration set |
92 |
70 |
$262.21 |
| A7015 |
Aerosol mask used w nebulize |
101 |
74 |
$74.97 |