| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,264 |
6,640 |
$369K |
| E0601 |
Cont airway pressure device |
5,914 |
5,015 |
$234K |
| A7030 |
Cpap full face mask |
2,224 |
1,803 |
$130K |
| E0562 |
Humidifier heated used w pap |
6,241 |
5,270 |
$71K |
| E0570 |
Nebulizer with compression |
3,535 |
2,741 |
$53K |
| A7031 |
Replacement facemask interfa |
1,712 |
1,389 |
$45K |
| E1392 |
Portable oxygen concentrator |
1,872 |
1,538 |
$29K |
| E0431 |
Portable gaseous 02 |
3,156 |
2,529 |
$29K |
| A7037 |
Pos airway pressure tubing |
2,791 |
2,264 |
$27K |
| E0470 |
Rad w/o backup non-inv intfc |
246 |
208 |
$25K |
| A7035 |
Pos airway press headgear |
1,917 |
1,573 |
$23K |
| A7034 |
Nasal application device |
252 |
221 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
321 |
254 |
$10K |
| A7038 |
Pos airway pressure filter |
2,723 |
2,184 |
$9K |
| A7039 |
Filter, non disposable w pap |
1,253 |
1,034 |
$6K |
| A7005 |
Nondisposable nebulizer set |
391 |
352 |
$5K |
| A7046 |
Repl water chamber, pap dev |
551 |
459 |
$5K |
| E1130 |
Whlchr stand fxd arm ft rest |
86 |
83 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
51 |
45 |
$2K |
| A7032 |
Replacement nasal cushion |
43 |
36 |
$1K |
| A4604 |
Tubing with heating element |
15 |
13 |
$408.15 |