| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,220 |
13,898 |
$837K |
| A7030 |
Cpap full face mask |
2,063 |
1,905 |
$127K |
| A7031 |
Replacement facemask interfa |
3,379 |
3,100 |
$98K |
| E0431 |
Portable gaseous 02 |
8,784 |
7,964 |
$93K |
| A4604 |
Tubing with heating element |
2,233 |
2,081 |
$66K |
| E0601 |
Cont airway pressure device |
1,905 |
1,716 |
$57K |
| E0470 |
Rad w/o backup non-inv intfc |
489 |
461 |
$45K |
| A7032 |
Replacement nasal cushion |
1,053 |
973 |
$40K |
| E0562 |
Humidifier heated used w pap |
2,976 |
2,749 |
$40K |
| E0466 |
Home vent non-invasive inter |
91 |
73 |
$35K |
| E0570 |
Nebulizer with compression |
4,085 |
3,819 |
$22K |
| A7034 |
Nasal application device |
485 |
435 |
$22K |
| A7035 |
Pos airway press headgear |
1,669 |
1,545 |
$21K |
| A7038 |
Pos airway pressure filter |
5,259 |
4,860 |
$21K |
| A7046 |
Repl water chamber, pap dev |
1,199 |
1,117 |
$10K |
| E1392 |
Portable oxygen concentrator |
599 |
502 |
$4K |
| A7037 |
Pos airway pressure tubing |
211 |
195 |
$2K |
| A7003 |
Nebulizer administration set |
489 |
458 |
$868.97 |
| E0443 |
Portable 02 contents, gas |
38 |
38 |
$428.89 |