| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,570 |
6,107 |
$192K |
| E0570 |
Nebulizer with compression |
2,654 |
2,427 |
$99K |
| E0431 |
Portable gaseous 02 |
4,212 |
3,890 |
$26K |
| K0738 |
Portable gas oxygen system |
828 |
779 |
$10K |
| E0601 |
Cont airway pressure device |
1,032 |
944 |
$8K |
| E0600 |
Suction pump portab hom modl |
166 |
156 |
$7K |
| A7004 |
Disposable nebulizer sml vol |
780 |
752 |
$1K |
| E0562 |
Humidifier heated used w pap |
116 |
105 |
$846.08 |
| A4604 |
Tubing with heating element |
338 |
296 |
$442.48 |
| A7030 |
Cpap full face mask |
25 |
24 |
$353.64 |
| A7038 |
Pos airway pressure filter |
513 |
447 |
$184.71 |
| A7035 |
Pos airway press headgear |
142 |
114 |
$86.83 |
| A7003 |
Nebulizer administration set |
57 |
52 |
$2.60 |
| A7031 |
Replacement facemask interfa |
26 |
25 |
$0.97 |
| A7046 |
Repl water chamber, pap dev |
13 |
12 |
$0.00 |