| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,090 |
16,497 |
$636K |
| A7030 |
Cpap full face mask |
3,572 |
3,219 |
$228K |
| A7031 |
Replacement facemask interfa |
5,874 |
5,307 |
$200K |
| E0601 |
Cont airway pressure device |
4,784 |
4,138 |
$157K |
| E0466 |
Home vent non-invasive inter |
574 |
541 |
$144K |
| E0562 |
Humidifier heated used w pap |
5,953 |
5,304 |
$83K |
| E0470 |
Rad w/o backup non-inv intfc |
946 |
843 |
$77K |
| E0431 |
Portable gaseous 02 |
9,610 |
8,267 |
$74K |
| A7034 |
Nasal application device |
1,831 |
1,672 |
$68K |
| A7032 |
Replacement nasal cushion |
1,744 |
1,594 |
$64K |
| A7037 |
Pos airway pressure tubing |
4,088 |
3,730 |
$44K |
| A7035 |
Pos airway press headgear |
3,245 |
2,971 |
$43K |
| A4604 |
Tubing with heating element |
1,285 |
1,169 |
$41K |
| A7038 |
Pos airway pressure filter |
9,759 |
8,873 |
$39K |
| E1392 |
Portable oxygen concentrator |
3,336 |
2,904 |
$37K |
| A7033 |
Replacement nasal pillows |
1,047 |
976 |
$29K |
| E0570 |
Nebulizer with compression |
3,009 |
2,689 |
$22K |
| A7046 |
Repl water chamber, pap dev |
2,653 |
2,360 |
$20K |
| A7003 |
Nebulizer administration set |
1,379 |
1,224 |
$1K |
| K0738 |
Portable gas oxygen system |
48 |
36 |
$1K |