| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,421 |
9,178 |
$381K |
| E0466 |
Home vent non-invasive inter |
840 |
795 |
$259K |
| E0431 |
Portable gaseous 02 |
7,548 |
7,340 |
$72K |
| A7030 |
Cpap full face mask |
115 |
113 |
$6K |
| E0601 |
Cont airway pressure device |
273 |
269 |
$4K |
| A7038 |
Pos airway pressure filter |
807 |
738 |
$3K |
| K0001 |
Standard wheelchair |
106 |
105 |
$2K |
| A7037 |
Pos airway pressure tubing |
222 |
219 |
$2K |
| E1392 |
Portable oxygen concentrator |
789 |
779 |
$2K |
| A7031 |
Replacement facemask interfa |
69 |
64 |
$1K |
| E0562 |
Humidifier heated used w pap |
101 |
101 |
$854.54 |
| A7035 |
Pos airway press headgear |
99 |
97 |
$840.93 |
| K0003 |
Lightweight wheelchair |
74 |
74 |
$733.18 |
| A7046 |
Repl water chamber, pap dev |
25 |
25 |
$187.44 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$17.28 |