| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,541 |
15,010 |
$774K |
| E0466 |
Home vent non-invasive inter |
1,251 |
1,208 |
$461K |
| E0601 |
Cont airway pressure device |
6,451 |
6,344 |
$273K |
| A7030 |
Cpap full face mask |
1,780 |
1,718 |
$111K |
| A7034 |
Nasal application device |
2,099 |
2,036 |
$101K |
| E0445 |
Oximeter non-invasive |
865 |
735 |
$99K |
| E0562 |
Humidifier heated used w pap |
707 |
697 |
$96K |
| K0738 |
Portable gas oxygen system |
4,072 |
3,927 |
$65K |
| A7032 |
Replacement nasal cushion |
1,239 |
1,190 |
$50K |
| A7031 |
Replacement facemask interfa |
1,690 |
1,626 |
$50K |
| A4604 |
Tubing with heating element |
1,391 |
1,363 |
$41K |
| E0470 |
Rad w/o backup non-inv intfc |
596 |
566 |
$40K |
| A7035 |
Pos airway press headgear |
2,771 |
2,688 |
$37K |
| E0570 |
Nebulizer with compression |
1,175 |
1,099 |
$33K |
| A7038 |
Pos airway pressure filter |
5,147 |
4,987 |
$31K |
| A7037 |
Pos airway pressure tubing |
2,656 |
2,548 |
$30K |
| E0431 |
Portable gaseous 02 |
2,158 |
2,094 |
$27K |
| E1392 |
Portable oxygen concentrator |
1,843 |
1,802 |
$21K |
| A7046 |
Repl water chamber, pap dev |
1,668 |
1,617 |
$12K |
| A7033 |
Replacement nasal pillows |
309 |
293 |
$7K |
| A7036 |
Pos airway press chinstrap |
470 |
462 |
$4K |
| A7039 |
Filter, non disposable w pap |
145 |
142 |
$995.43 |
| A7005 |
Nondisposable nebulizer set |
63 |
62 |
$832.44 |
| A7003 |
Nebulizer administration set |
26 |
25 |
$30.09 |
| A7013 |
Disposable compressor filter |
25 |
24 |
$10.14 |