| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
10,862 |
10,611 |
$403K |
| A7030 |
Cpap full face mask |
3,165 |
3,132 |
$285K |
| E1390 |
Oxygen concentrator |
4,665 |
4,634 |
$255K |
| A4604 |
Tubing with heating element |
4,310 |
4,270 |
$145K |
| A7031 |
Replacement facemask interfa |
2,390 |
2,338 |
$88K |
| E0562 |
Humidifier heated used w pap |
2,774 |
2,664 |
$86K |
| E0466 |
Home vent non-invasive inter |
287 |
285 |
$82K |
| A7034 |
Nasal application device |
1,143 |
1,137 |
$56K |
| A7035 |
Pos airway press headgear |
2,966 |
2,928 |
$52K |
| A7038 |
Pos airway pressure filter |
5,844 |
5,648 |
$31K |
| A4239 |
Non-adju cgm supply allow |
162 |
160 |
$28K |
| E0431 |
Portable gaseous 02 |
2,097 |
2,087 |
$24K |
| E0570 |
Nebulizer with compression |
2,391 |
2,378 |
$22K |
| A7032 |
Replacement nasal cushion |
580 |
563 |
$22K |
| A7046 |
Repl water chamber, pap dev |
1,791 |
1,769 |
$18K |
| K0738 |
Portable gas oxygen system |
1,254 |
1,233 |
$16K |
| A7033 |
Replacement nasal pillows |
215 |
212 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
151 |
137 |
$7K |
| A7005 |
Nondisposable nebulizer set |
155 |
148 |
$2K |
| A7036 |
Pos airway press chinstrap |
161 |
161 |
$2K |
| A9901 |
Delivery/set up/dispensing |
307 |
303 |
$909.45 |
| A7037 |
Pos airway pressure tubing |
28 |
24 |
$255.20 |