| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,489 |
11,432 |
$688K |
| E0562 |
Humidifier heated used w pap |
4,194 |
4,186 |
$219K |
| E0470 |
Rad w/o backup non-inv intfc |
1,267 |
1,259 |
$207K |
| E0570 |
Nebulizer with compression |
1,707 |
1,702 |
$205K |
| A7030 |
Cpap full face mask |
1,638 |
1,618 |
$138K |
| A7034 |
Nasal application device |
1,693 |
1,677 |
$103K |
| E1390 |
Oxygen concentrator |
833 |
830 |
$100K |
| A4604 |
Tubing with heating element |
2,415 |
2,388 |
$89K |
| A7035 |
Pos airway press headgear |
3,369 |
3,332 |
$72K |
| A7005 |
Nondisposable nebulizer set |
1,616 |
1,581 |
$42K |
| A7032 |
Replacement nasal cushion |
799 |
786 |
$34K |
| A7038 |
Pos airway pressure filter |
3,353 |
3,316 |
$18K |
| A7028 |
Repl oral cushion combo mask |
212 |
210 |
$14K |
| E0431 |
Portable gaseous 02 |
658 |
655 |
$14K |
| A7037 |
Pos airway pressure tubing |
770 |
761 |
$13K |
| A7046 |
Repl water chamber, pap dev |
738 |
726 |
$10K |
| A7015 |
Aerosol mask used w nebulize |
1,519 |
1,511 |
$4K |
| A7039 |
Filter, non disposable w pap |
211 |
209 |
$2K |