| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,262 |
18,598 |
$1.60M |
| E0601 |
Cont airway pressure device |
1,624 |
1,505 |
$136K |
| A7030 |
Cpap full face mask |
1,123 |
1,048 |
$111K |
| E0431 |
Portable gaseous 02 |
6,463 |
5,847 |
$91K |
| A7037 |
Pos airway pressure tubing |
3,351 |
3,122 |
$64K |
| A7031 |
Replacement facemask interfa |
1,960 |
1,739 |
$64K |
| E0562 |
Humidifier heated used w pap |
1,150 |
1,015 |
$61K |
| K0738 |
Portable gas oxygen system |
2,208 |
2,049 |
$48K |
| E0570 |
Nebulizer with compression |
1,307 |
1,136 |
$42K |
| A7035 |
Pos airway press headgear |
1,992 |
1,849 |
$39K |
| A7032 |
Replacement nasal cushion |
1,247 |
1,114 |
$26K |
| E0441 |
Stationary o2 contents, gas |
406 |
381 |
$23K |
| E0434 |
Portable liquid 02 |
635 |
605 |
$20K |
| A7038 |
Pos airway pressure filter |
4,996 |
4,545 |
$18K |
| E0442 |
Stationary o2 contents, liq |
316 |
297 |
$16K |
| A7034 |
Nasal application device |
243 |
231 |
$12K |
| A7046 |
Repl water chamber, pap dev |
734 |
661 |
$7K |
| A7039 |
Filter, non disposable w pap |
607 |
530 |
$3K |
| A7003 |
Nebulizer administration set |
363 |
338 |
$1K |