| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
861 |
787 |
$135K |
| E0570 |
Nebulizer with compression |
1,217 |
1,016 |
$22K |
| E1390 |
Oxygen concentrator |
1,942 |
1,567 |
$20K |
| E0601 |
Cont airway pressure device |
611 |
512 |
$4K |
| K0738 |
Portable gas oxygen system |
352 |
297 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
86 |
84 |
$1K |
| A7030 |
Cpap full face mask |
71 |
55 |
$973.13 |
| A7038 |
Pos airway pressure filter |
494 |
395 |
$890.34 |
| E0431 |
Portable gaseous 02 |
227 |
206 |
$858.84 |
| K0001 |
Standard wheelchair |
99 |
96 |
$575.87 |
| A7037 |
Pos airway pressure tubing |
235 |
193 |
$530.29 |
| A7005 |
Nondisposable nebulizer set |
13 |
12 |
$234.48 |
| A7035 |
Pos airway press headgear |
54 |
40 |
$86.84 |
| A7039 |
Filter, non disposable w pap |
29 |
25 |
$23.20 |