| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,196 |
6,387 |
$280K |
| E0431 |
Portable gaseous 02 |
5,687 |
4,409 |
$49K |
| E0570 |
Nebulizer with compression |
2,065 |
1,549 |
$19K |
| A7038 |
Pos airway pressure filter |
1,521 |
1,393 |
$6K |
| A7031 |
Replacement facemask interfa |
79 |
77 |
$2K |
| A7030 |
Cpap full face mask |
25 |
25 |
$1K |
| E0601 |
Cont airway pressure device |
37 |
36 |
$978.46 |
| E0562 |
Humidifier heated used w pap |
26 |
24 |
$673.06 |
| A7037 |
Pos airway pressure tubing |
43 |
43 |
$584.11 |
| A7035 |
Pos airway press headgear |
45 |
42 |
$417.49 |
| A4604 |
Tubing with heating element |
26 |
24 |
$403.54 |
| A7005 |
Nondisposable nebulizer set |
54 |
36 |
$341.14 |
| K0001 |
Standard wheelchair |
82 |
51 |
$298.26 |
| A7003 |
Nebulizer administration set |
260 |
178 |
$217.51 |