| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,542 |
4,668 |
$162K |
| E0601 |
Cont airway pressure device |
3,373 |
2,607 |
$93K |
| A7034 |
Nasal application device |
1,132 |
737 |
$25K |
| A7030 |
Cpap full face mask |
621 |
430 |
$20K |
| E0431 |
Portable gaseous 02 |
2,534 |
1,894 |
$19K |
| E0562 |
Humidifier heated used w pap |
348 |
222 |
$16K |
| A7035 |
Pos airway press headgear |
1,470 |
1,017 |
$12K |
| A7037 |
Pos airway pressure tubing |
1,250 |
839 |
$10K |
| A7032 |
Replacement nasal cushion |
215 |
138 |
$7K |
| A4604 |
Tubing with heating element |
474 |
308 |
$7K |
| E1392 |
Portable oxygen concentrator |
761 |
602 |
$7K |
| A7038 |
Pos airway pressure filter |
2,050 |
1,372 |
$7K |
| A7031 |
Replacement facemask interfa |
378 |
246 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
144 |
113 |
$5K |
| E0466 |
Home vent non-invasive inter |
58 |
36 |
$3K |
| A7046 |
Repl water chamber, pap dev |
540 |
349 |
$2K |
| E0570 |
Nebulizer with compression |
158 |
106 |
$412.36 |
| A7033 |
Replacement nasal pillows |
23 |
12 |
$325.55 |
| A7036 |
Pos airway press chinstrap |
13 |
12 |
$75.51 |
| A7039 |
Filter, non disposable w pap |
18 |
13 |
$57.10 |