| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
4,714 |
4,692 |
$175K |
| E1390 |
Oxygen concentrator |
2,942 |
2,883 |
$142K |
| A7034 |
Nasal application device |
2,637 |
2,609 |
$87K |
| E0470 |
Rad w/o backup non-inv intfc |
750 |
743 |
$70K |
| A4604 |
Tubing with heating element |
2,957 |
2,934 |
$63K |
| A7033 |
Replacement nasal pillows |
1,358 |
1,339 |
$56K |
| E0562 |
Humidifier heated used w pap |
1,858 |
1,845 |
$46K |
| A7030 |
Cpap full face mask |
1,032 |
1,027 |
$37K |
| A7031 |
Replacement facemask interfa |
771 |
764 |
$35K |
| A7038 |
Pos airway pressure filter |
3,936 |
3,889 |
$34K |
| A7035 |
Pos airway press headgear |
3,174 |
3,144 |
$32K |
| A7032 |
Replacement nasal cushion |
708 |
697 |
$28K |
| E0431 |
Portable gaseous 02 |
1,521 |
1,499 |
$19K |
| K0738 |
Portable gas oxygen system |
676 |
660 |
$9K |
| A7037 |
Pos airway pressure tubing |
586 |
572 |
$8K |
| A7046 |
Repl water chamber, pap dev |
585 |
583 |
$6K |
| E1392 |
Portable oxygen concentrator |
43 |
39 |
$592.33 |