| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,991 |
14,442 |
$991K |
| E0424 |
Stationary compressed gas 02 |
789 |
762 |
$96K |
| A7030 |
Cpap full face mask |
1,676 |
1,382 |
$84K |
| E0601 |
Cont airway pressure device |
1,539 |
1,285 |
$82K |
| E0431 |
Portable gaseous 02 |
5,095 |
4,504 |
$70K |
| E1392 |
Portable oxygen concentrator |
4,689 |
3,663 |
$62K |
| A7034 |
Nasal application device |
1,625 |
1,293 |
$50K |
| E0471 |
Rad w/backup non inv intrfc |
367 |
297 |
$47K |
| A7031 |
Replacement facemask interfa |
2,301 |
1,846 |
$45K |
| K0738 |
Portable gas oxygen system |
2,200 |
1,846 |
$45K |
| A4604 |
Tubing with heating element |
2,007 |
1,649 |
$42K |
| A7032 |
Replacement nasal cushion |
1,114 |
887 |
$21K |
| A7035 |
Pos airway press headgear |
1,676 |
1,358 |
$18K |
| E0562 |
Humidifier heated used w pap |
171 |
141 |
$14K |
| E0570 |
Nebulizer with compression |
1,149 |
985 |
$14K |
| A7038 |
Pos airway pressure filter |
4,301 |
3,423 |
$12K |
| A7033 |
Replacement nasal pillows |
776 |
608 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,536 |
1,241 |
$10K |
| A7037 |
Pos airway pressure tubing |
909 |
703 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
112 |
91 |
$8K |
| A7039 |
Filter, non disposable w pap |
787 |
638 |
$2K |