| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,592 |
6,461 |
$157K |
| E0601 |
Cont airway pressure device |
2,868 |
2,563 |
$54K |
| E0562 |
Humidifier heated used w pap |
701 |
597 |
$21K |
| A7030 |
Cpap full face mask |
381 |
292 |
$15K |
| K0738 |
Portable gas oxygen system |
1,635 |
1,380 |
$14K |
| E1392 |
Portable oxygen concentrator |
2,090 |
1,737 |
$14K |
| E0431 |
Portable gaseous 02 |
1,526 |
1,384 |
$13K |
| A7034 |
Nasal application device |
440 |
334 |
$12K |
| A7035 |
Pos airway press headgear |
820 |
627 |
$7K |
| A7031 |
Replacement facemask interfa |
286 |
233 |
$6K |
| A7037 |
Pos airway pressure tubing |
959 |
751 |
$6K |
| A7032 |
Replacement nasal cushion |
281 |
222 |
$5K |
| A7038 |
Pos airway pressure filter |
1,863 |
1,519 |
$5K |
| K0001 |
Standard wheelchair |
427 |
378 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
141 |
126 |
$2K |
| A7046 |
Repl water chamber, pap dev |
141 |
116 |
$740.20 |
| A4604 |
Tubing with heating element |
15 |
12 |
$361.34 |
| E0570 |
Nebulizer with compression |
94 |
85 |
$223.38 |