| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,737 |
2,346 |
$103K |
| E0601 |
Cont airway pressure device |
2,625 |
2,213 |
$65K |
| A7030 |
Cpap full face mask |
679 |
575 |
$45K |
| E0562 |
Humidifier heated used w pap |
2,575 |
2,180 |
$24K |
| E0431 |
Portable gaseous 02 |
1,760 |
1,503 |
$23K |
| A7035 |
Pos airway press headgear |
1,328 |
1,102 |
$20K |
| A7037 |
Pos airway pressure tubing |
1,066 |
877 |
$18K |
| A7031 |
Replacement facemask interfa |
692 |
564 |
$18K |
| A7034 |
Nasal application device |
340 |
257 |
$12K |
| E0570 |
Nebulizer with compression |
1,266 |
1,058 |
$11K |
| A7038 |
Pos airway pressure filter |
2,252 |
1,762 |
$8K |
| A7046 |
Repl water chamber, pap dev |
553 |
430 |
$4K |
| K0001 |
Standard wheelchair |
480 |
444 |
$4K |
| E1392 |
Portable oxygen concentrator |
268 |
203 |
$2K |
| A7032 |
Replacement nasal cushion |
73 |
56 |
$827.98 |
| A4604 |
Tubing with heating element |
84 |
79 |
$794.29 |
| A7003 |
Nebulizer administration set |
32 |
31 |
$82.01 |