| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,416 |
5,496 |
$377K |
| E0601 |
Cont airway pressure device |
4,811 |
2,660 |
$121K |
| E0431 |
Portable gaseous 02 |
2,244 |
1,569 |
$18K |
| A7030 |
Cpap full face mask |
593 |
473 |
$14K |
| E0570 |
Nebulizer with compression |
1,519 |
1,068 |
$4K |
| E0430 |
Oxygen system gas portable |
161 |
130 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
78 |
40 |
$3K |
| A7031 |
Replacement facemask interfa |
739 |
545 |
$3K |
| A7037 |
Pos airway pressure tubing |
1,238 |
906 |
$1K |
| A7032 |
Replacement nasal cushion |
58 |
38 |
$1K |
| A7035 |
Pos airway press headgear |
535 |
392 |
$1K |
| A7046 |
Repl water chamber, pap dev |
286 |
217 |
$405.51 |
| A7034 |
Nasal application device |
183 |
140 |
$304.44 |
| A7038 |
Pos airway pressure filter |
1,545 |
1,107 |
$254.36 |
| E1392 |
Portable oxygen concentrator |
17 |
14 |
$66.41 |
| A7003 |
Nebulizer administration set |
29 |
26 |
$21.51 |
| A7039 |
Filter, non disposable w pap |
75 |
65 |
$20.18 |