| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,449 |
3,773 |
$181K |
| E0570 |
Nebulizer with compression |
3,091 |
2,844 |
$54K |
| E0601 |
Cont airway pressure device |
1,485 |
1,298 |
$39K |
| E1130 |
Whlchr stand fxd arm ft rest |
934 |
860 |
$26K |
| E0431 |
Portable gaseous 02 |
2,706 |
2,325 |
$25K |
| E0260 |
Hosp bed semi-electr w/ matt |
782 |
667 |
$16K |
| E0562 |
Humidifier heated used w pap |
335 |
310 |
$7K |
| E0443 |
Portable 02 contents, gas |
623 |
582 |
$5K |
| A7031 |
Replacement facemask interfa |
203 |
162 |
$3K |
| A7035 |
Pos airway press headgear |
277 |
234 |
$3K |
| A7030 |
Cpap full face mask |
55 |
51 |
$3K |
| A7038 |
Pos airway pressure filter |
1,074 |
911 |
$3K |
| A7037 |
Pos airway pressure tubing |
247 |
221 |
$2K |
| A7005 |
Nondisposable nebulizer set |
199 |
176 |
$2K |
| K0001 |
Standard wheelchair |
200 |
190 |
$135.23 |
| A7039 |
Filter, non disposable w pap |
13 |
13 |
$73.84 |
| A4253 |
Blood glucose/reagent strips |
29 |
15 |
$46.61 |
| A7003 |
Nebulizer administration set |
17 |
12 |
$36.27 |