| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,501 |
6,273 |
$283K |
| E0601 |
Cont airway pressure device |
1,378 |
1,346 |
$71K |
| A7030 |
Cpap full face mask |
771 |
747 |
$57K |
| A7031 |
Replacement facemask interfa |
1,284 |
1,242 |
$52K |
| E0466 |
Home vent non-invasive inter |
592 |
574 |
$42K |
| E1392 |
Portable oxygen concentrator |
3,149 |
3,032 |
$27K |
| E0562 |
Humidifier heated used w pap |
1,779 |
1,748 |
$25K |
| A4604 |
Tubing with heating element |
888 |
866 |
$25K |
| A7038 |
Pos airway pressure filter |
2,171 |
2,099 |
$12K |
| E0431 |
Portable gaseous 02 |
1,548 |
1,474 |
$12K |
| A7035 |
Pos airway press headgear |
693 |
670 |
$10K |
| E0570 |
Nebulizer with compression |
367 |
360 |
$9K |
| A7034 |
Nasal application device |
96 |
92 |
$4K |
| A7046 |
Repl water chamber, pap dev |
397 |
388 |
$3K |
| A7037 |
Pos airway pressure tubing |
91 |
90 |
$1K |
| A7033 |
Replacement nasal pillows |
39 |
39 |
$994.34 |