| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,252 |
8,263 |
$299K |
| E0601 |
Cont airway pressure device |
3,203 |
2,785 |
$85K |
| E0431 |
Portable gaseous 02 |
4,027 |
3,489 |
$26K |
| E0562 |
Humidifier heated used w pap |
1,584 |
1,387 |
$20K |
| E0466 |
Home vent non-invasive inter |
104 |
90 |
$18K |
| A7037 |
Pos airway pressure tubing |
2,066 |
1,855 |
$15K |
| A7030 |
Cpap full face mask |
335 |
304 |
$12K |
| A7034 |
Nasal application device |
351 |
302 |
$9K |
| A7035 |
Pos airway press headgear |
926 |
813 |
$8K |
| A7031 |
Replacement facemask interfa |
350 |
310 |
$6K |
| A7046 |
Repl water chamber, pap dev |
785 |
706 |
$6K |
| A7038 |
Pos airway pressure filter |
2,340 |
2,066 |
$5K |
| A7039 |
Filter, non disposable w pap |
735 |
648 |
$2K |
| A7032 |
Replacement nasal cushion |
124 |
107 |
$2K |
| E0570 |
Nebulizer with compression |
80 |
62 |
$702.88 |
| A9279 |
Monitoring feature/devicenoc |
303 |
227 |
$234.00 |