| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,622 |
4,407 |
$464K |
| E0466 |
Home vent non-invasive inter |
169 |
149 |
$137K |
| E0601 |
Cont airway pressure device |
1,199 |
1,117 |
$89K |
| K0738 |
Portable gas oxygen system |
2,299 |
2,199 |
$71K |
| K0001 |
Standard wheelchair |
1,025 |
992 |
$36K |
| E0431 |
Portable gaseous 02 |
1,106 |
1,076 |
$22K |
| A7038 |
Pos airway pressure filter |
695 |
679 |
$7K |
| E0562 |
Humidifier heated used w pap |
119 |
116 |
$5K |
| A7034 |
Nasal application device |
64 |
63 |
$4K |
| A7035 |
Pos airway press headgear |
166 |
159 |
$4K |
| A7037 |
Pos airway pressure tubing |
122 |
117 |
$3K |
| A7032 |
Replacement nasal cushion |
52 |
51 |
$2K |
| E0570 |
Nebulizer with compression |
75 |
74 |
$2K |
| A7030 |
Cpap full face mask |
16 |
13 |
$1K |
| K0195 |
Elevating whlchair leg rests |
56 |
51 |
$996.28 |
| A7031 |
Replacement facemask interfa |
16 |
13 |
$613.11 |
| E1392 |
Portable oxygen concentrator |
26 |
24 |
$544.51 |
| A4604 |
Tubing with heating element |
13 |
12 |
$523.98 |
| A7046 |
Repl water chamber, pap dev |
28 |
26 |
$318.57 |