| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,841 |
7,373 |
$393K |
| E0570 |
Nebulizer with compression |
2,240 |
2,108 |
$89K |
| E0431 |
Portable gaseous 02 |
5,433 |
5,153 |
$56K |
| E0443 |
Portable 02 contents, gas |
492 |
260 |
$23K |
| A7005 |
Nondisposable nebulizer set |
509 |
482 |
$9K |
| E0601 |
Cont airway pressure device |
146 |
135 |
$6K |
| L4387 |
Non-pneum walk boot pre ots |
30 |
26 |
$3K |
| A7003 |
Nebulizer administration set |
656 |
613 |
$2K |
| K0001 |
Standard wheelchair |
248 |
237 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
54 |
49 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
949 |
897 |
$1K |
| A7037 |
Pos airway pressure tubing |
200 |
198 |
$952.19 |
| A7038 |
Pos airway pressure filter |
208 |
203 |
$612.83 |
| A7030 |
Cpap full face mask |
24 |
24 |
$357.22 |
| A7035 |
Pos airway press headgear |
59 |
58 |
$283.14 |
| A7034 |
Nasal application device |
13 |
13 |
$231.54 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$159.21 |
| A7046 |
Repl water chamber, pap dev |
15 |
14 |
$29.16 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$18.90 |