| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,728 |
2,691 |
$959K |
| E1390 |
Oxygen concentrator |
8,550 |
8,225 |
$461K |
| E0431 |
Portable gaseous 02 |
3,590 |
3,406 |
$73K |
| K0738 |
Portable gas oxygen system |
3,448 |
3,344 |
$72K |
| K0001 |
Standard wheelchair |
1,427 |
1,328 |
$28K |
| E0601 |
Cont airway pressure device |
812 |
799 |
$24K |
| E0260 |
Hosp bed semi-electr w/ matt |
422 |
377 |
$11K |
| E0570 |
Nebulizer with compression |
560 |
559 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
24 |
24 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
38 |
38 |
$1K |
| A7037 |
Pos airway pressure tubing |
117 |
112 |
$1K |
| A7038 |
Pos airway pressure filter |
287 |
263 |
$1K |
| A7035 |
Pos airway press headgear |
42 |
38 |
$547.81 |