| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,059 |
8,033 |
$465K |
| A7030 |
Cpap full face mask |
1,067 |
954 |
$74K |
| A7031 |
Replacement facemask interfa |
2,005 |
1,772 |
$66K |
| E0431 |
Portable gaseous 02 |
5,905 |
5,249 |
$58K |
| E0601 |
Cont airway pressure device |
1,216 |
1,095 |
$48K |
| A4604 |
Tubing with heating element |
1,662 |
1,509 |
$48K |
| E0562 |
Humidifier heated used w pap |
1,571 |
1,420 |
$22K |
| A7038 |
Pos airway pressure filter |
3,445 |
3,100 |
$16K |
| A7035 |
Pos airway press headgear |
884 |
806 |
$13K |
| A7034 |
Nasal application device |
136 |
133 |
$8K |
| E0570 |
Nebulizer with compression |
1,280 |
1,186 |
$8K |
| A7032 |
Replacement nasal cushion |
127 |
119 |
$5K |
| A7046 |
Repl water chamber, pap dev |
458 |
425 |
$4K |
| E1392 |
Portable oxygen concentrator |
134 |
109 |
$1K |
| A7033 |
Replacement nasal pillows |
28 |
26 |
$962.80 |
| A7003 |
Nebulizer administration set |
55 |
41 |
$41.99 |