| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,299 |
4,453 |
$191K |
| E0601 |
Cont airway pressure device |
5,859 |
4,456 |
$145K |
| E0562 |
Humidifier heated used w pap |
5,669 |
4,538 |
$77K |
| E0431 |
Portable gaseous 02 |
2,855 |
2,303 |
$44K |
| E0470 |
Rad w/o backup non-inv intfc |
288 |
227 |
$26K |
| A7030 |
Cpap full face mask |
860 |
676 |
$6K |
| A7037 |
Pos airway pressure tubing |
2,445 |
1,976 |
$5K |
| A7031 |
Replacement facemask interfa |
953 |
738 |
$5K |
| A7034 |
Nasal application device |
566 |
443 |
$2K |
| E0570 |
Nebulizer with compression |
449 |
406 |
$2K |
| A7038 |
Pos airway pressure filter |
3,232 |
2,620 |
$2K |
| A7032 |
Replacement nasal cushion |
162 |
129 |
$2K |
| A7035 |
Pos airway press headgear |
956 |
743 |
$991.39 |
| A7046 |
Repl water chamber, pap dev |
533 |
436 |
$652.62 |
| E1392 |
Portable oxygen concentrator |
492 |
424 |
$521.93 |
| A7033 |
Replacement nasal pillows |
41 |
38 |
$512.68 |
| A7039 |
Filter, non disposable w pap |
516 |
375 |
$201.73 |
| A7003 |
Nebulizer administration set |
28 |
24 |
$19.84 |
| A4604 |
Tubing with heating element |
13 |
12 |
$0.00 |