| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,852 |
4,386 |
$155K |
| E0601 |
Cont airway pressure device |
2,382 |
2,123 |
$44K |
| A7030 |
Cpap full face mask |
720 |
633 |
$30K |
| E0431 |
Portable gaseous 02 |
1,102 |
970 |
$24K |
| A7031 |
Replacement facemask interfa |
1,252 |
990 |
$23K |
| A4604 |
Tubing with heating element |
1,143 |
1,011 |
$13K |
| A7035 |
Pos airway press headgear |
719 |
636 |
$8K |
| A7038 |
Pos airway pressure filter |
2,336 |
1,799 |
$7K |
| K0001 |
Standard wheelchair |
351 |
307 |
$6K |
| A7034 |
Nasal application device |
250 |
210 |
$5K |
| E0562 |
Humidifier heated used w pap |
641 |
611 |
$4K |
| A7046 |
Repl water chamber, pap dev |
550 |
493 |
$3K |
| K0738 |
Portable gas oxygen system |
134 |
106 |
$3K |
| A7032 |
Replacement nasal cushion |
144 |
96 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
48 |
39 |
$944.78 |
| E0570 |
Nebulizer with compression |
128 |
127 |
$766.63 |
| A7037 |
Pos airway pressure tubing |
25 |
24 |
$650.37 |
| E0114 |
Crutch underarm pair no wood |
14 |
14 |
$558.00 |
| L3908 |
Who cock-up nonmolde pre ots |
31 |
27 |
$530.87 |