| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,783 |
7,326 |
$344K |
| A7030 |
Cpap full face mask |
2,623 |
2,434 |
$113K |
| E0601 |
Cont airway pressure device |
4,195 |
3,976 |
$109K |
| A7031 |
Replacement facemask interfa |
4,049 |
3,619 |
$109K |
| A4604 |
Tubing with heating element |
2,973 |
2,786 |
$61K |
| E0439 |
Stationary liquid 02 |
1,487 |
1,410 |
$54K |
| E0562 |
Humidifier heated used w pap |
4,248 |
4,121 |
$50K |
| A7034 |
Nasal application device |
1,947 |
1,785 |
$41K |
| E0431 |
Portable gaseous 02 |
2,863 |
2,699 |
$30K |
| A7033 |
Replacement nasal pillows |
1,512 |
1,396 |
$27K |
| A7035 |
Pos airway press headgear |
2,546 |
2,359 |
$22K |
| A7038 |
Pos airway pressure filter |
6,790 |
6,302 |
$19K |
| E0434 |
Portable liquid 02 |
2,056 |
1,915 |
$17K |
| A7032 |
Replacement nasal cushion |
922 |
845 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,621 |
1,492 |
$11K |
| A7046 |
Repl water chamber, pap dev |
2,034 |
1,861 |
$9K |
| E1392 |
Portable oxygen concentrator |
125 |
123 |
$3K |
| K0001 |
Standard wheelchair |
199 |
192 |
$2K |
| E0570 |
Nebulizer with compression |
305 |
301 |
$2K |
| A7039 |
Filter, non disposable w pap |
739 |
681 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
13 |
13 |
$503.03 |