| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,858 |
5,532 |
$427K |
| E0601 |
Cont airway pressure device |
2,691 |
2,455 |
$95K |
| E0431 |
Portable gaseous 02 |
4,360 |
4,134 |
$62K |
| A7034 |
Nasal application device |
550 |
503 |
$30K |
| E0562 |
Humidifier heated used w pap |
1,290 |
1,219 |
$28K |
| A4604 |
Tubing with heating element |
310 |
292 |
$12K |
| A7032 |
Replacement nasal cushion |
366 |
350 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
94 |
87 |
$9K |
| A7035 |
Pos airway press headgear |
512 |
458 |
$9K |
| A7038 |
Pos airway pressure filter |
1,428 |
1,277 |
$5K |
| A7030 |
Cpap full face mask |
54 |
52 |
$5K |
| E0570 |
Nebulizer with compression |
392 |
376 |
$4K |
| A7037 |
Pos airway pressure tubing |
163 |
145 |
$2K |
| A7031 |
Replacement facemask interfa |
24 |
24 |
$908.70 |
| A7046 |
Repl water chamber, pap dev |
53 |
49 |
$562.94 |
| A7039 |
Filter, non disposable w pap |
112 |
85 |
$500.06 |