| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,590 |
4,362 |
$276K |
| E0601 |
Cont airway pressure device |
3,151 |
2,765 |
$106K |
| E0466 |
Home vent non-invasive inter |
99 |
77 |
$29K |
| E0431 |
Portable gaseous 02 |
2,050 |
1,653 |
$17K |
| E0470 |
Rad w/o backup non-inv intfc |
84 |
75 |
$10K |
| E1392 |
Portable oxygen concentrator |
1,833 |
1,382 |
$7K |
| E0562 |
Humidifier heated used w pap |
1,563 |
1,493 |
$7K |
| E0570 |
Nebulizer with compression |
1,275 |
848 |
$3K |
| A4604 |
Tubing with heating element |
915 |
729 |
$685.61 |
| A7038 |
Pos airway pressure filter |
1,630 |
1,353 |
$572.01 |
| A7031 |
Replacement facemask interfa |
257 |
234 |
$289.62 |
| A7034 |
Nasal application device |
327 |
242 |
$206.53 |
| A7032 |
Replacement nasal cushion |
29 |
24 |
$194.63 |
| A7030 |
Cpap full face mask |
92 |
83 |
$169.05 |
| A7035 |
Pos airway press headgear |
355 |
298 |
$78.88 |
| A7046 |
Repl water chamber, pap dev |
73 |
59 |
$14.03 |
| A7033 |
Replacement nasal pillows |
27 |
24 |
$11.97 |