| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
31,877 |
23,433 |
$899K |
| E0466 |
Home vent non-invasive inter |
2,305 |
1,666 |
$566K |
| A7030 |
Cpap full face mask |
3,867 |
3,002 |
$215K |
| A7031 |
Replacement facemask interfa |
6,070 |
4,984 |
$185K |
| E0470 |
Rad w/o backup non-inv intfc |
2,226 |
1,643 |
$153K |
| E0601 |
Cont airway pressure device |
4,621 |
3,599 |
$145K |
| E0431 |
Portable gaseous 02 |
16,046 |
11,754 |
$101K |
| E0562 |
Humidifier heated used w pap |
7,080 |
5,666 |
$88K |
| A7034 |
Nasal application device |
1,991 |
1,415 |
$50K |
| A7037 |
Pos airway pressure tubing |
4,987 |
3,654 |
$41K |
| A7032 |
Replacement nasal cushion |
1,384 |
1,068 |
$40K |
| A7035 |
Pos airway press headgear |
3,591 |
2,709 |
$39K |
| A7038 |
Pos airway pressure filter |
10,116 |
8,076 |
$35K |
| A4604 |
Tubing with heating element |
815 |
701 |
$25K |
| A7033 |
Replacement nasal pillows |
1,017 |
805 |
$24K |
| E0570 |
Nebulizer with compression |
6,228 |
4,130 |
$20K |
| A7046 |
Repl water chamber, pap dev |
2,716 |
2,046 |
$17K |
| E1392 |
Portable oxygen concentrator |
1,907 |
1,192 |
$10K |
| A7039 |
Filter, non disposable w pap |
1,670 |
1,230 |
$6K |
| A7003 |
Nebulizer administration set |
3,145 |
2,645 |
$2K |
| A7005 |
Nondisposable nebulizer set |
81 |
67 |
$156.49 |
| E0443 |
Portable 02 contents, gas |
23 |
12 |
$94.73 |