| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,172 |
7,122 |
$374K |
| E0601 |
Cont airway pressure device |
1,940 |
1,928 |
$79K |
| E0431 |
Portable gaseous 02 |
3,219 |
3,197 |
$33K |
| E0562 |
Humidifier heated used w pap |
2,083 |
2,072 |
$29K |
| E0570 |
Nebulizer with compression |
1,638 |
1,615 |
$14K |
| A7031 |
Replacement facemask interfa |
424 |
421 |
$12K |
| A7030 |
Cpap full face mask |
222 |
220 |
$10K |
| A7038 |
Pos airway pressure filter |
1,095 |
1,090 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
78 |
74 |
$6K |
| A7035 |
Pos airway press headgear |
241 |
238 |
$3K |
| A7037 |
Pos airway pressure tubing |
113 |
113 |
$1K |
| A7046 |
Repl water chamber, pap dev |
159 |
159 |
$654.23 |
| A7003 |
Nebulizer administration set |
552 |
518 |
$609.94 |
| A4604 |
Tubing with heating element |
25 |
25 |
$382.26 |