| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,679 |
6,835 |
$531K |
| E0601 |
Cont airway pressure device |
2,668 |
2,446 |
$164K |
| A7030 |
Cpap full face mask |
1,550 |
1,347 |
$113K |
| A4604 |
Tubing with heating element |
2,554 |
2,248 |
$72K |
| A7034 |
Nasal application device |
1,378 |
1,222 |
$67K |
| K0738 |
Portable gas oxygen system |
2,780 |
2,555 |
$67K |
| A7035 |
Pos airway press headgear |
2,431 |
2,123 |
$43K |
| A7031 |
Replacement facemask interfa |
1,069 |
908 |
$41K |
| E1392 |
Portable oxygen concentrator |
1,767 |
1,631 |
$37K |
| A7038 |
Pos airway pressure filter |
3,855 |
3,406 |
$31K |
| E0562 |
Humidifier heated used w pap |
218 |
198 |
$28K |
| E0431 |
Portable gaseous 02 |
737 |
688 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,351 |
1,222 |
$13K |
| E0466 |
Home vent non-invasive inter |
25 |
25 |
$9K |
| A7032 |
Replacement nasal cushion |
143 |
133 |
$4K |
| A7033 |
Replacement nasal pillows |
71 |
66 |
$2K |
| E0570 |
Nebulizer with compression |
14 |
12 |
$1K |
| A7037 |
Pos airway pressure tubing |
67 |
62 |
$1K |
| A7039 |
Filter, non disposable w pap |
14 |
13 |
$145.24 |
| A7003 |
Nebulizer administration set |
15 |
12 |
$6.81 |