| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,158 |
2,553 |
$124K |
| E0601 |
Cont airway pressure device |
1,414 |
1,194 |
$45K |
| E0562 |
Humidifier heated used w pap |
1,540 |
1,286 |
$16K |
| E0431 |
Portable gaseous 02 |
1,220 |
995 |
$12K |
| E0570 |
Nebulizer with compression |
294 |
229 |
$9K |
| A7034 |
Nasal application device |
162 |
149 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
63 |
50 |
$4K |
| E1392 |
Portable oxygen concentrator |
201 |
152 |
$3K |
| A7035 |
Pos airway press headgear |
224 |
198 |
$2K |
| A4604 |
Tubing with heating element |
74 |
72 |
$2K |
| K0738 |
Portable gas oxygen system |
157 |
118 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
33 |
24 |
$2K |
| K0001 |
Standard wheelchair |
84 |
70 |
$1K |
| A7005 |
Nondisposable nebulizer set |
55 |
44 |
$860.39 |
| A7032 |
Replacement nasal cushion |
24 |
24 |
$854.85 |
| A7038 |
Pos airway pressure filter |
425 |
345 |
$835.17 |
| A7037 |
Pos airway pressure tubing |
76 |
66 |
$435.07 |
| A7030 |
Cpap full face mask |
17 |
12 |
$238.04 |
| A7046 |
Repl water chamber, pap dev |
13 |
12 |
$67.03 |