| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,305 |
9,399 |
$778K |
| A7034 |
Nasal application device |
1,932 |
1,816 |
$124K |
| E0601 |
Cont airway pressure device |
2,531 |
2,276 |
$111K |
| A7032 |
Replacement nasal cushion |
2,299 |
2,159 |
$107K |
| E0431 |
Portable gaseous 02 |
5,228 |
4,638 |
$67K |
| A4604 |
Tubing with heating element |
1,463 |
1,357 |
$58K |
| A7031 |
Replacement facemask interfa |
1,322 |
1,202 |
$48K |
| E0562 |
Humidifier heated used w pap |
2,690 |
2,444 |
$46K |
| A7030 |
Cpap full face mask |
476 |
419 |
$37K |
| A7035 |
Pos airway press headgear |
1,680 |
1,548 |
$33K |
| A7038 |
Pos airway pressure filter |
5,226 |
4,896 |
$30K |
| A7033 |
Replacement nasal pillows |
654 |
624 |
$26K |
| A7037 |
Pos airway pressure tubing |
1,121 |
1,039 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,216 |
1,129 |
$14K |
| E0466 |
Home vent non-invasive inter |
48 |
48 |
$13K |
| E1392 |
Portable oxygen concentrator |
302 |
277 |
$3K |
| E0570 |
Nebulizer with compression |
167 |
142 |
$682.37 |
| K0001 |
Standard wheelchair |
26 |
26 |
$493.35 |