| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,904 |
4,892 |
$415K |
| E0601 |
Cont airway pressure device |
2,516 |
2,482 |
$141K |
| E0570 |
Nebulizer with compression |
934 |
928 |
$63K |
| E0431 |
Portable gaseous 02 |
3,067 |
3,057 |
$46K |
| E0562 |
Humidifier heated used w pap |
2,752 |
2,745 |
$29K |
| L3660 |
So 8 ab rstr can/web pre ots |
476 |
471 |
$28K |
| L4361 |
Pneuma/vac walk boot pre ots |
147 |
143 |
$23K |
| A7037 |
Pos airway pressure tubing |
1,048 |
1,044 |
$20K |
| A7030 |
Cpap full face mask |
247 |
244 |
$18K |
| E0114 |
Crutch underarm pair no wood |
542 |
540 |
$16K |
| A7035 |
Pos airway press headgear |
747 |
739 |
$16K |
| A7038 |
Pos airway pressure filter |
1,592 |
1,586 |
$8K |
| A7005 |
Nondisposable nebulizer set |
300 |
300 |
$5K |
| A7031 |
Replacement facemask interfa |
88 |
88 |
$2K |
| A7034 |
Nasal application device |
27 |
27 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
27 |
26 |
$1K |
| A7032 |
Replacement nasal cushion |
12 |
12 |
$158.64 |
| A7015 |
Aerosol mask used w nebulize |
56 |
56 |
$75.15 |
| A7003 |
Nebulizer administration set |
33 |
33 |
$0.00 |