| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
32,673 |
26,967 |
$1.84M |
| A7030 |
Cpap full face mask |
2,625 |
2,193 |
$210K |
| E0466 |
Home vent non-invasive inter |
548 |
432 |
$197K |
| E0431 |
Portable gaseous 02 |
16,437 |
13,768 |
$173K |
| A7031 |
Replacement facemask interfa |
3,256 |
2,641 |
$101K |
| E0441 |
Stationary o2 contents, gas |
1,678 |
1,539 |
$78K |
| A7035 |
Pos airway press headgear |
3,002 |
2,589 |
$59K |
| A7034 |
Nasal application device |
1,179 |
1,029 |
$58K |
| E0601 |
Cont airway pressure device |
2,360 |
1,951 |
$55K |
| A7037 |
Pos airway pressure tubing |
2,784 |
2,350 |
$39K |
| E0562 |
Humidifier heated used w pap |
947 |
718 |
$34K |
| A7046 |
Repl water chamber, pap dev |
2,528 |
2,204 |
$30K |
| E1392 |
Portable oxygen concentrator |
1,623 |
1,365 |
$21K |
| A7038 |
Pos airway pressure filter |
6,254 |
5,248 |
$20K |
| A7032 |
Replacement nasal cushion |
596 |
506 |
$16K |
| E0439 |
Stationary liquid 02 |
355 |
310 |
$15K |
| A4604 |
Tubing with heating element |
273 |
225 |
$7K |
| E0434 |
Portable liquid 02 |
394 |
350 |
$4K |
| E0570 |
Nebulizer with compression |
460 |
412 |
$3K |
| E0443 |
Portable 02 contents, gas |
150 |
102 |
$2K |
| A7033 |
Replacement nasal pillows |
32 |
27 |
$799.19 |
| A7003 |
Nebulizer administration set |
34 |
26 |
$22.75 |