| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,032 |
8,443 |
$383K |
| E0466 |
Home vent non-invasive inter |
511 |
292 |
$105K |
| E0431 |
Portable gaseous 02 |
8,237 |
5,504 |
$52K |
| A7031 |
Replacement facemask interfa |
757 |
524 |
$25K |
| A7030 |
Cpap full face mask |
381 |
232 |
$12K |
| E0601 |
Cont airway pressure device |
220 |
180 |
$8K |
| E0562 |
Humidifier heated used w pap |
852 |
631 |
$8K |
| A7038 |
Pos airway pressure filter |
1,614 |
1,153 |
$6K |
| E0260 |
Hosp bed semi-electr w/ matt |
409 |
206 |
$5K |
| E0570 |
Nebulizer with compression |
1,512 |
944 |
$4K |
| A7037 |
Pos airway pressure tubing |
470 |
309 |
$3K |
| K0001 |
Standard wheelchair |
569 |
324 |
$2K |
| A7035 |
Pos airway press headgear |
238 |
149 |
$1K |
| A7046 |
Repl water chamber, pap dev |
209 |
135 |
$507.85 |
| A7003 |
Nebulizer administration set |
128 |
112 |
$53.79 |
| E1392 |
Portable oxygen concentrator |
12 |
12 |
$0.00 |