| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,226 |
11,117 |
$1.53M |
| E1390 |
Oxygen concentrator |
9,290 |
9,255 |
$683K |
| A7030 |
Cpap full face mask |
6,577 |
6,554 |
$548K |
| E0470 |
Rad w/o backup non-inv intfc |
1,616 |
1,594 |
$479K |
| E0562 |
Humidifier heated used w pap |
12,490 |
12,394 |
$454K |
| E0466 |
Home vent non-invasive inter |
550 |
550 |
$272K |
| A7031 |
Replacement facemask interfa |
5,711 |
5,691 |
$206K |
| A7034 |
Nasal application device |
4,798 |
4,782 |
$192K |
| A7035 |
Pos airway press headgear |
10,406 |
10,370 |
$144K |
| A7037 |
Pos airway pressure tubing |
10,960 |
10,932 |
$115K |
| A7032 |
Replacement nasal cushion |
2,391 |
2,378 |
$69K |
| E0570 |
Nebulizer with compression |
1,831 |
1,828 |
$60K |
| K0738 |
Portable gas oxygen system |
2,805 |
2,796 |
$56K |
| A7038 |
Pos airway pressure filter |
13,889 |
13,855 |
$33K |
| A7033 |
Replacement nasal pillows |
1,186 |
1,184 |
$31K |
| E0431 |
Portable gaseous 02 |
1,324 |
1,317 |
$24K |
| A7046 |
Repl water chamber, pap dev |
2,142 |
2,134 |
$6K |
| A4604 |
Tubing with heating element |
358 |
358 |
$2K |
| A7036 |
Pos airway press chinstrap |
150 |
150 |
$1K |
| A7005 |
Nondisposable nebulizer set |
26 |
26 |
$243.09 |