| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,392 |
7,011 |
$396K |
| A7030 |
Cpap full face mask |
1,394 |
1,347 |
$110K |
| A7031 |
Replacement facemask interfa |
2,733 |
2,653 |
$103K |
| E0601 |
Cont airway pressure device |
2,420 |
2,311 |
$103K |
| E0562 |
Humidifier heated used w pap |
3,255 |
3,132 |
$46K |
| E0431 |
Portable gaseous 02 |
4,062 |
3,848 |
$36K |
| E0470 |
Rad w/o backup non-inv intfc |
289 |
285 |
$35K |
| A7037 |
Pos airway pressure tubing |
1,738 |
1,665 |
$22K |
| A7038 |
Pos airway pressure filter |
4,396 |
4,232 |
$20K |
| A7035 |
Pos airway press headgear |
1,017 |
974 |
$16K |
| A7032 |
Replacement nasal cushion |
309 |
299 |
$12K |
| A7034 |
Nasal application device |
192 |
179 |
$10K |
| A4604 |
Tubing with heating element |
212 |
206 |
$9K |
| A7046 |
Repl water chamber, pap dev |
599 |
586 |
$6K |
| E1392 |
Portable oxygen concentrator |
258 |
249 |
$4K |
| A7033 |
Replacement nasal pillows |
100 |
97 |
$3K |
| E0570 |
Nebulizer with compression |
172 |
160 |
$3K |