| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,592 |
2,455 |
$696K |
| E1390 |
Oxygen concentrator |
10,731 |
10,359 |
$476K |
| E0601 |
Cont airway pressure device |
6,431 |
6,307 |
$249K |
| A7030 |
Cpap full face mask |
1,845 |
1,816 |
$117K |
| A7031 |
Replacement facemask interfa |
2,848 |
2,801 |
$97K |
| E0562 |
Humidifier heated used w pap |
8,195 |
8,051 |
$90K |
| A7034 |
Nasal application device |
1,774 |
1,756 |
$73K |
| E0431 |
Portable gaseous 02 |
7,667 |
7,370 |
$62K |
| A7032 |
Replacement nasal cushion |
1,474 |
1,448 |
$53K |
| A7037 |
Pos airway pressure tubing |
2,932 |
2,885 |
$36K |
| A7035 |
Pos airway press headgear |
2,503 |
2,466 |
$31K |
| A7038 |
Pos airway pressure filter |
6,638 |
6,534 |
$28K |
| A7033 |
Replacement nasal pillows |
975 |
966 |
$24K |
| A4604 |
Tubing with heating element |
877 |
871 |
$22K |
| E0570 |
Nebulizer with compression |
2,350 |
2,287 |
$19K |
| E0470 |
Rad w/o backup non-inv intfc |
222 |
220 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,356 |
1,338 |
$9K |
| E1392 |
Portable oxygen concentrator |
317 |
308 |
$3K |
| A7039 |
Filter, non disposable w pap |
207 |
205 |
$940.10 |
| A7036 |
Pos airway press chinstrap |
78 |
78 |
$553.20 |