| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,837 |
13,289 |
$462K |
| E0466 |
Home vent non-invasive inter |
810 |
597 |
$245K |
| A7030 |
Cpap full face mask |
1,551 |
1,396 |
$72K |
| E0431 |
Portable gaseous 02 |
9,996 |
8,288 |
$64K |
| E0601 |
Cont airway pressure device |
3,045 |
2,463 |
$54K |
| A4604 |
Tubing with heating element |
1,780 |
1,643 |
$48K |
| A7031 |
Replacement facemask interfa |
2,461 |
2,121 |
$46K |
| E0562 |
Humidifier heated used w pap |
3,515 |
2,795 |
$22K |
| E1392 |
Portable oxygen concentrator |
1,805 |
1,531 |
$20K |
| A7035 |
Pos airway press headgear |
1,928 |
1,683 |
$19K |
| A7034 |
Nasal application device |
722 |
605 |
$17K |
| E0570 |
Nebulizer with compression |
2,980 |
2,489 |
$16K |
| A7046 |
Repl water chamber, pap dev |
1,462 |
1,246 |
$9K |
| A7038 |
Pos airway pressure filter |
5,598 |
4,697 |
$9K |
| A7032 |
Replacement nasal cushion |
686 |
515 |
$7K |
| A7037 |
Pos airway pressure tubing |
1,211 |
991 |
$5K |
| A7039 |
Filter, non disposable w pap |
327 |
270 |
$737.19 |
| A7033 |
Replacement nasal pillows |
36 |
25 |
$280.53 |
| A7005 |
Nondisposable nebulizer set |
32 |
30 |
$242.04 |
| A7003 |
Nebulizer administration set |
87 |
75 |
$64.29 |
| A7013 |
Disposable compressor filter |
12 |
12 |
$4.67 |