| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,919 |
9,165 |
$866K |
| E0424 |
Stationary compressed gas 02 |
718 |
698 |
$96K |
| A7030 |
Cpap full face mask |
960 |
890 |
$64K |
| E0431 |
Portable gaseous 02 |
3,799 |
3,578 |
$63K |
| E0601 |
Cont airway pressure device |
961 |
898 |
$57K |
| K0738 |
Portable gas oxygen system |
1,893 |
1,792 |
$54K |
| A7031 |
Replacement facemask interfa |
1,192 |
1,082 |
$33K |
| E0441 |
Stationary o2 contents, gas |
412 |
404 |
$25K |
| E1392 |
Portable oxygen concentrator |
1,009 |
887 |
$21K |
| A4604 |
Tubing with heating element |
837 |
775 |
$20K |
| E0570 |
Nebulizer with compression |
710 |
663 |
$12K |
| A7035 |
Pos airway press headgear |
619 |
580 |
$9K |
| A7038 |
Pos airway pressure filter |
1,920 |
1,742 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
57 |
51 |
$7K |
| A7034 |
Nasal application device |
150 |
143 |
$7K |
| A7032 |
Replacement nasal cushion |
163 |
152 |
$3K |
| A7046 |
Repl water chamber, pap dev |
303 |
278 |
$3K |
| E0562 |
Humidifier heated used w pap |
15 |
15 |
$3K |
| A7037 |
Pos airway pressure tubing |
14 |
12 |
$228.30 |
| A7003 |
Nebulizer administration set |
26 |
26 |
$80.22 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$14.71 |
| A7015 |
Aerosol mask used w nebulize |
13 |
13 |
$14.64 |