| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,659 |
2,531 |
$186K |
| E0601 |
Cont airway pressure device |
1,529 |
1,424 |
$73K |
| A7034 |
Nasal application device |
678 |
667 |
$48K |
| A7030 |
Cpap full face mask |
484 |
471 |
$46K |
| A4604 |
Tubing with heating element |
1,240 |
1,214 |
$43K |
| E0562 |
Humidifier heated used w pap |
269 |
264 |
$40K |
| A7032 |
Replacement nasal cushion |
411 |
396 |
$19K |
| A7031 |
Replacement facemask interfa |
511 |
497 |
$18K |
| E0431 |
Portable gaseous 02 |
1,271 |
1,207 |
$17K |
| A7035 |
Pos airway press headgear |
756 |
739 |
$15K |
| E1392 |
Portable oxygen concentrator |
602 |
561 |
$12K |
| E0603 |
Electric breast pump |
84 |
84 |
$11K |
| A7038 |
Pos airway pressure filter |
1,494 |
1,458 |
$8K |
| E0570 |
Nebulizer with compression |
403 |
383 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
53 |
49 |
$5K |
| A7046 |
Repl water chamber, pap dev |
271 |
268 |
$3K |
| K0001 |
Standard wheelchair |
215 |
208 |
$3K |
| A7033 |
Replacement nasal pillows |
27 |
26 |
$1K |
| A7003 |
Nebulizer administration set |
13 |
12 |
$17.54 |