| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,178 |
1,135 |
$530K |
| E1390 |
Oxygen concentrator |
5,249 |
4,963 |
$272K |
| E0601 |
Cont airway pressure device |
1,551 |
1,468 |
$55K |
| K0738 |
Portable gas oxygen system |
2,798 |
2,647 |
$44K |
| K0001 |
Standard wheelchair |
841 |
806 |
$17K |
| E0431 |
Portable gaseous 02 |
823 |
797 |
$10K |
| E1392 |
Portable oxygen concentrator |
425 |
400 |
$9K |
| A7034 |
Nasal application device |
174 |
162 |
$8K |
| K0003 |
Lightweight wheelchair |
470 |
415 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
211 |
206 |
$7K |
| E0562 |
Humidifier heated used w pap |
53 |
51 |
$5K |
| E0570 |
Nebulizer with compression |
626 |
625 |
$4K |
| A7035 |
Pos airway press headgear |
278 |
259 |
$4K |
| A7038 |
Pos airway pressure filter |
521 |
495 |
$3K |
| A7037 |
Pos airway pressure tubing |
200 |
187 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
60 |
60 |
$2K |
| A7032 |
Replacement nasal cushion |
54 |
51 |
$2K |
| A7046 |
Repl water chamber, pap dev |
96 |
86 |
$669.89 |