| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,365 |
3,147 |
$219K |
| E0601 |
Cont airway pressure device |
3,259 |
3,135 |
$195K |
| A7030 |
Cpap full face mask |
1,257 |
1,220 |
$122K |
| E0562 |
Humidifier heated used w pap |
769 |
759 |
$57K |
| A7031 |
Replacement facemask interfa |
888 |
861 |
$54K |
| A7037 |
Pos airway pressure tubing |
1,101 |
1,057 |
$21K |
| A7038 |
Pos airway pressure filter |
1,744 |
1,683 |
$20K |
| A7035 |
Pos airway press headgear |
1,069 |
1,035 |
$19K |
| E0431 |
Portable gaseous 02 |
1,777 |
1,679 |
$18K |
| E0570 |
Nebulizer with compression |
897 |
862 |
$14K |
| A4604 |
Tubing with heating element |
379 |
376 |
$13K |
| A7034 |
Nasal application device |
117 |
116 |
$7K |
| A7046 |
Repl water chamber, pap dev |
300 |
296 |
$3K |
| A7039 |
Filter, non disposable w pap |
204 |
197 |
$2K |
| A7032 |
Replacement nasal cushion |
12 |
12 |
$1K |
| A7003 |
Nebulizer administration set |
12 |
12 |
$30.62 |