| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,272 |
16,122 |
$431K |
| A7030 |
Cpap full face mask |
2,313 |
2,063 |
$76K |
| A7031 |
Replacement facemask interfa |
3,877 |
3,464 |
$72K |
| E0431 |
Portable gaseous 02 |
9,810 |
8,631 |
$58K |
| A4604 |
Tubing with heating element |
3,432 |
3,039 |
$56K |
| A7032 |
Replacement nasal cushion |
1,442 |
1,306 |
$30K |
| E0601 |
Cont airway pressure device |
1,468 |
1,299 |
$25K |
| A7034 |
Nasal application device |
1,067 |
974 |
$24K |
| E1392 |
Portable oxygen concentrator |
3,117 |
2,898 |
$24K |
| A7038 |
Pos airway pressure filter |
6,783 |
6,122 |
$16K |
| A7035 |
Pos airway press headgear |
2,091 |
1,882 |
$15K |
| E0562 |
Humidifier heated used w pap |
2,438 |
2,133 |
$13K |
| E0570 |
Nebulizer with compression |
2,496 |
2,273 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,720 |
1,570 |
$9K |
| A7033 |
Replacement nasal pillows |
208 |
189 |
$4K |
| A7003 |
Nebulizer administration set |
1,460 |
1,298 |
$1K |
| K0001 |
Standard wheelchair |
150 |
131 |
$1K |
| A7013 |
Disposable compressor filter |
28 |
27 |
$15.83 |