| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,881 |
15,485 |
$762K |
| E0470 |
Rad w/o backup non-inv intfc |
2,306 |
2,140 |
$212K |
| E0601 |
Cont airway pressure device |
5,196 |
4,825 |
$183K |
| E0431 |
Portable gaseous 02 |
9,657 |
8,697 |
$150K |
| E0562 |
Humidifier heated used w pap |
1,102 |
1,004 |
$89K |
| A7030 |
Cpap full face mask |
1,488 |
1,415 |
$65K |
| A7034 |
Nasal application device |
1,694 |
1,568 |
$47K |
| A7035 |
Pos airway press headgear |
2,496 |
2,340 |
$34K |
| A7037 |
Pos airway pressure tubing |
2,131 |
2,005 |
$25K |
| E0570 |
Nebulizer with compression |
627 |
579 |
$17K |
| A7032 |
Replacement nasal cushion |
684 |
615 |
$14K |
| A7039 |
Filter, non disposable w pap |
2,221 |
2,100 |
$12K |
| A7038 |
Pos airway pressure filter |
4,916 |
4,458 |
$12K |
| A4604 |
Tubing with heating element |
749 |
699 |
$12K |
| E0466 |
Home vent non-invasive inter |
19 |
12 |
$6K |
| A7031 |
Replacement facemask interfa |
458 |
410 |
$6K |
| E1392 |
Portable oxygen concentrator |
200 |
168 |
$3K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
31 |
26 |
$1K |
| A7046 |
Repl water chamber, pap dev |
434 |
397 |
$1K |
| A6402 |
Sterile gauze <= 16 sq in |
119 |
109 |
$912.50 |
| A6446 |
Conform band s w>=3" <5"/yd |
41 |
39 |
$770.84 |
| A7033 |
Replacement nasal pillows |
28 |
26 |
$497.10 |
| A4452 |
Waterproof tape |
14 |
12 |
$285.50 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$173.72 |
| A9279 |
Monitoring feature/devicenoc |
25 |
24 |
$20.00 |