| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,832 |
6,151 |
$465K |
| E0601 |
Cont airway pressure device |
6,949 |
6,087 |
$270K |
| A7030 |
Cpap full face mask |
3,531 |
3,098 |
$232K |
| E0470 |
Rad w/o backup non-inv intfc |
2,094 |
1,777 |
$159K |
| E0562 |
Humidifier heated used w pap |
8,609 |
7,453 |
$103K |
| A7031 |
Replacement facemask interfa |
3,017 |
2,656 |
$84K |
| A7034 |
Nasal application device |
1,573 |
1,324 |
$63K |
| E0431 |
Portable gaseous 02 |
4,165 |
3,783 |
$58K |
| E0445 |
Oximeter non-invasive |
73 |
63 |
$50K |
| A7037 |
Pos airway pressure tubing |
4,589 |
3,979 |
$46K |
| A7035 |
Pos airway press headgear |
3,372 |
2,931 |
$45K |
| E0466 |
Home vent non-invasive inter |
72 |
51 |
$26K |
| A7032 |
Replacement nasal cushion |
662 |
572 |
$21K |
| A7038 |
Pos airway pressure filter |
5,736 |
5,016 |
$20K |
| A4604 |
Tubing with heating element |
626 |
557 |
$18K |
| E0600 |
Suction pump portab hom modl |
272 |
264 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,544 |
1,350 |
$15K |
| E0570 |
Nebulizer with compression |
932 |
739 |
$12K |
| A7039 |
Filter, non disposable w pap |
2,593 |
2,246 |
$12K |
| E0114 |
Crutch underarm pair no wood |
158 |
143 |
$4K |
| A4606 |
Oxygen probe used w oximeter |
76 |
41 |
$3K |
| A7033 |
Replacement nasal pillows |
95 |
76 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
44 |
30 |
$1K |
| A7000 |
Disposable canister for pump |
28 |
26 |
$596.82 |