| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,796 |
2,442 |
$251K |
| E0601 |
Cont airway pressure device |
1,390 |
1,218 |
$77K |
| E0431 |
Portable gaseous 02 |
2,015 |
1,787 |
$28K |
| A7030 |
Cpap full face mask |
161 |
139 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
196 |
168 |
$10K |
| E0562 |
Humidifier heated used w pap |
138 |
128 |
$8K |
| L3670 |
So acro/clav can web pre ots |
93 |
83 |
$7K |
| A7038 |
Pos airway pressure filter |
1,187 |
1,055 |
$7K |
| A7031 |
Replacement facemask interfa |
166 |
152 |
$6K |
| A7035 |
Pos airway press headgear |
271 |
250 |
$6K |
| K0001 |
Standard wheelchair |
210 |
169 |
$5K |
| E0570 |
Nebulizer with compression |
95 |
89 |
$5K |
| E0114 |
Crutch underarm pair no wood |
68 |
52 |
$2K |
| A7037 |
Pos airway pressure tubing |
398 |
363 |
$1K |
| A7046 |
Repl water chamber, pap dev |
49 |
40 |
$439.45 |
| E0971 |
Wheelchair anti-tipping devi |
181 |
81 |
$425.19 |
| A4565 |
Slings |
14 |
12 |
$67.34 |