| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,283 |
2,279 |
$141K |
| E0570 |
Nebulizer with compression |
727 |
725 |
$63K |
| E0466 |
Home vent non-invasive inter |
426 |
426 |
$49K |
| E0465 |
Home vent invasive interface |
63 |
63 |
$32K |
| E0601 |
Cont airway pressure device |
348 |
348 |
$11K |
| K0001 |
Standard wheelchair |
324 |
324 |
$9K |
| E0431 |
Portable gaseous 02 |
809 |
808 |
$9K |
| E1392 |
Portable oxygen concentrator |
681 |
679 |
$9K |
| E0562 |
Humidifier heated used w pap |
166 |
165 |
$3K |
| A7031 |
Replacement facemask interfa |
184 |
182 |
$2K |
| A7035 |
Pos airway press headgear |
127 |
126 |
$1K |
| A7003 |
Nebulizer administration set |
617 |
616 |
$1K |
| A7038 |
Pos airway pressure filter |
508 |
505 |
$870.63 |
| A7015 |
Aerosol mask used w nebulize |
437 |
437 |
$597.43 |
| A4604 |
Tubing with heating element |
125 |
125 |
$596.44 |
| A7034 |
Nasal application device |
13 |
13 |
$486.82 |
| A7030 |
Cpap full face mask |
12 |
12 |
$484.91 |
| A7013 |
Disposable compressor filter |
584 |
584 |
$357.57 |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$70.73 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$64.22 |
| A7002 |
Tubing used w suction pump |
12 |
12 |
$49.79 |