| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,711 |
6,077 |
$313K |
| E0601 |
Cont airway pressure device |
5,262 |
4,894 |
$214K |
| E0562 |
Humidifier heated used w pap |
1,831 |
1,616 |
$81K |
| A7030 |
Cpap full face mask |
1,089 |
1,004 |
$53K |
| A6196 |
Alginate dressing <=16 sq in |
484 |
382 |
$45K |
| E0431 |
Portable gaseous 02 |
2,688 |
2,438 |
$44K |
| A6021 |
Collagen dressing <=16 sq in |
176 |
126 |
$30K |
| A7035 |
Pos airway press headgear |
1,651 |
1,517 |
$26K |
| A6266 |
Impreg gauze no h20/sal/yard |
244 |
166 |
$25K |
| A7037 |
Pos airway pressure tubing |
1,914 |
1,756 |
$23K |
| A7034 |
Nasal application device |
588 |
553 |
$19K |
| E0466 |
Home vent non-invasive inter |
39 |
36 |
$14K |
| A6212 |
Foam drg <=16 sq in w/border |
214 |
187 |
$14K |
| A7038 |
Pos airway pressure filter |
3,363 |
3,017 |
$9K |
| A7039 |
Filter, non disposable w pap |
1,307 |
1,232 |
$8K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
147 |
121 |
$7K |
| A6402 |
Sterile gauze <= 16 sq in |
548 |
476 |
$5K |
| A7031 |
Replacement facemask interfa |
304 |
273 |
$5K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
111 |
102 |
$4K |
| E0570 |
Nebulizer with compression |
148 |
130 |
$3K |
| A6219 |
Gauze <= 16 sq in w/border |
124 |
99 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$2K |
| A7032 |
Replacement nasal cushion |
56 |
53 |
$2K |
| K0738 |
Portable gas oxygen system |
64 |
61 |
$1K |
| A7046 |
Repl water chamber, pap dev |
13 |
12 |
$24.19 |
| A9279 |
Monitoring feature/devicenoc |
143 |
130 |
$8.63 |
| A6457 |
Tubular dressing |
18 |
16 |
$5.93 |