| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,801 |
13,259 |
$648K |
| E0466 |
Home vent non-invasive inter |
885 |
862 |
$434K |
| A7030 |
Cpap full face mask |
2,400 |
2,337 |
$152K |
| A7031 |
Replacement facemask interfa |
4,514 |
4,381 |
$134K |
| E0601 |
Cont airway pressure device |
2,659 |
2,612 |
$82K |
| E0431 |
Portable gaseous 02 |
7,535 |
7,253 |
$68K |
| A7032 |
Replacement nasal cushion |
1,563 |
1,523 |
$57K |
| A7034 |
Nasal application device |
1,125 |
1,099 |
$56K |
| E0562 |
Humidifier heated used w pap |
3,322 |
3,269 |
$36K |
| A7037 |
Pos airway pressure tubing |
2,789 |
2,713 |
$31K |
| A7038 |
Pos airway pressure filter |
7,658 |
7,462 |
$30K |
| A7035 |
Pos airway press headgear |
2,177 |
2,113 |
$29K |
| E0443 |
Portable 02 contents, gas |
764 |
742 |
$23K |
| E1392 |
Portable oxygen concentrator |
1,742 |
1,655 |
$20K |
| A4604 |
Tubing with heating element |
700 |
684 |
$20K |
| A7046 |
Repl water chamber, pap dev |
1,700 |
1,659 |
$14K |
| E0570 |
Nebulizer with compression |
2,694 |
2,590 |
$12K |
| A7033 |
Replacement nasal pillows |
289 |
280 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
77 |
74 |
$4K |
| A7039 |
Filter, non disposable w pap |
65 |
63 |
$279.12 |
| A7003 |
Nebulizer administration set |
82 |
80 |
$158.42 |
| A7005 |
Nondisposable nebulizer set |
17 |
13 |
$98.59 |