| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,281 |
19,155 |
$621K |
| E0601 |
Cont airway pressure device |
16,058 |
11,953 |
$366K |
| A7030 |
Cpap full face mask |
8,795 |
6,374 |
$329K |
| E0466 |
Home vent non-invasive inter |
1,146 |
810 |
$262K |
| A7034 |
Nasal application device |
7,917 |
5,851 |
$190K |
| E0562 |
Humidifier heated used w pap |
14,283 |
8,146 |
$156K |
| A4604 |
Tubing with heating element |
7,860 |
5,930 |
$148K |
| K0738 |
Portable gas oxygen system |
8,639 |
6,936 |
$121K |
| A7031 |
Replacement facemask interfa |
7,038 |
5,028 |
$104K |
| A7035 |
Pos airway press headgear |
11,356 |
8,516 |
$102K |
| E0470 |
Rad w/o backup non-inv intfc |
2,104 |
1,489 |
$95K |
| A7032 |
Replacement nasal cushion |
4,395 |
3,241 |
$70K |
| E0431 |
Portable gaseous 02 |
5,925 |
4,743 |
$42K |
| A7037 |
Pos airway pressure tubing |
8,278 |
5,984 |
$39K |
| A7046 |
Repl water chamber, pap dev |
6,426 |
4,824 |
$34K |
| A7038 |
Pos airway pressure filter |
15,496 |
11,408 |
$32K |
| A7033 |
Replacement nasal pillows |
1,684 |
1,226 |
$24K |
| E0570 |
Nebulizer with compression |
2,647 |
2,465 |
$20K |
| E1392 |
Portable oxygen concentrator |
1,529 |
1,246 |
$11K |
| E0471 |
Rad w/backup non inv intrfc |
65 |
37 |
$8K |
| A7036 |
Pos airway press chinstrap |
732 |
542 |
$4K |
| A7005 |
Nondisposable nebulizer set |
266 |
216 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
84 |
67 |
$2K |
| A7039 |
Filter, non disposable w pap |
563 |
406 |
$1K |
| A7000 |
Disposable canister for pump |
60 |
25 |
$889.65 |
| E0424 |
Stationary compressed gas 02 |
14 |
12 |
$631.39 |
| A7013 |
Disposable compressor filter |
199 |
175 |
$78.44 |
| A7003 |
Nebulizer administration set |
190 |
168 |
$44.71 |