| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,882 |
5,882 |
$282K |
| E0601 |
Cont airway pressure device |
1,655 |
1,366 |
$109K |
| A7034 |
Nasal application device |
751 |
551 |
$29K |
| E1392 |
Portable oxygen concentrator |
1,885 |
1,546 |
$25K |
| E0431 |
Portable gaseous 02 |
2,495 |
1,912 |
$24K |
| A4604 |
Tubing with heating element |
1,166 |
845 |
$24K |
| A7030 |
Cpap full face mask |
454 |
327 |
$23K |
| E0470 |
Rad w/o backup non-inv intfc |
127 |
114 |
$11K |
| A7035 |
Pos airway press headgear |
934 |
689 |
$11K |
| E0562 |
Humidifier heated used w pap |
98 |
68 |
$9K |
| A7031 |
Replacement facemask interfa |
360 |
240 |
$7K |
| A7038 |
Pos airway pressure filter |
1,390 |
989 |
$6K |
| K0001 |
Standard wheelchair |
266 |
235 |
$6K |
| A7032 |
Replacement nasal cushion |
197 |
158 |
$5K |
| E0424 |
Stationary compressed gas 02 |
121 |
104 |
$4K |
| A7037 |
Pos airway pressure tubing |
258 |
193 |
$3K |
| E0570 |
Nebulizer with compression |
82 |
75 |
$2K |
| A7046 |
Repl water chamber, pap dev |
240 |
170 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
14 |
14 |
$603.00 |