| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
23,533 |
12,560 |
$692K |
| E0431 |
Portable gaseous 02 |
13,753 |
7,411 |
$67K |
| E0601 |
Cont airway pressure device |
2,822 |
1,571 |
$51K |
| A7030 |
Cpap full face mask |
878 |
581 |
$31K |
| A7031 |
Replacement facemask interfa |
1,006 |
709 |
$20K |
| E0562 |
Humidifier heated used w pap |
2,735 |
1,548 |
$17K |
| E0570 |
Nebulizer with compression |
3,548 |
2,235 |
$15K |
| A7034 |
Nasal application device |
593 |
389 |
$14K |
| E1392 |
Portable oxygen concentrator |
1,571 |
774 |
$13K |
| A7035 |
Pos airway press headgear |
1,565 |
1,007 |
$13K |
| A7038 |
Pos airway pressure filter |
4,782 |
3,058 |
$12K |
| A4604 |
Tubing with heating element |
742 |
550 |
$6K |
| A7037 |
Pos airway pressure tubing |
491 |
282 |
$5K |
| A7032 |
Replacement nasal cushion |
170 |
114 |
$2K |
| A7003 |
Nebulizer administration set |
2,105 |
1,460 |
$1K |
| A7046 |
Repl water chamber, pap dev |
111 |
85 |
$260.63 |
| A7005 |
Nondisposable nebulizer set |
23 |
17 |
$49.53 |