| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,603 |
6,054 |
$188K |
| E0601 |
Cont airway pressure device |
3,515 |
3,248 |
$108K |
| A4604 |
Tubing with heating element |
2,017 |
1,909 |
$79K |
| A7030 |
Cpap full face mask |
1,458 |
1,394 |
$74K |
| A7031 |
Replacement facemask interfa |
2,045 |
1,919 |
$44K |
| A7034 |
Nasal application device |
992 |
937 |
$33K |
| A7032 |
Replacement nasal cushion |
849 |
769 |
$31K |
| E0431 |
Portable gaseous 02 |
3,331 |
3,045 |
$22K |
| A7035 |
Pos airway press headgear |
1,575 |
1,503 |
$17K |
| E0562 |
Humidifier heated used w pap |
213 |
198 |
$17K |
| A7038 |
Pos airway pressure filter |
4,089 |
3,808 |
$12K |
| A7033 |
Replacement nasal pillows |
323 |
302 |
$10K |
| A7046 |
Repl water chamber, pap dev |
537 |
510 |
$5K |
| E0570 |
Nebulizer with compression |
582 |
542 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
44 |
37 |
$2K |
| A7037 |
Pos airway pressure tubing |
286 |
282 |
$2K |
| E1392 |
Portable oxygen concentrator |
125 |
122 |
$924.57 |