| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,005 |
982 |
$74K |
| E0601 |
Cont airway pressure device |
865 |
853 |
$40K |
| A7031 |
Replacement facemask interfa |
885 |
865 |
$27K |
| A7030 |
Cpap full face mask |
316 |
308 |
$23K |
| E0570 |
Nebulizer with compression |
512 |
495 |
$17K |
| K0001 |
Standard wheelchair |
770 |
756 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
107 |
104 |
$15K |
| E0431 |
Portable gaseous 02 |
833 |
811 |
$11K |
| A7037 |
Pos airway pressure tubing |
450 |
440 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
129 |
119 |
$5K |
| A7038 |
Pos airway pressure filter |
1,309 |
1,265 |
$5K |
| A7035 |
Pos airway press headgear |
235 |
229 |
$3K |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$1K |
| A7032 |
Replacement nasal cushion |
27 |
25 |
$628.26 |
| K0195 |
Elevating whlchair leg rests |
70 |
68 |
$551.59 |
| A7034 |
Nasal application device |
12 |
12 |
$518.24 |
| A7046 |
Repl water chamber, pap dev |
81 |
80 |
$313.52 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$206.11 |