| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,208 |
6,588 |
$224K |
| E0601 |
Cont airway pressure device |
6,096 |
4,938 |
$131K |
| E0470 |
Rad w/o backup non-inv intfc |
541 |
434 |
$29K |
| E0431 |
Portable gaseous 02 |
4,410 |
3,154 |
$13K |
| E0562 |
Humidifier heated used w pap |
2,158 |
1,925 |
$11K |
| E1392 |
Portable oxygen concentrator |
2,712 |
1,942 |
$10K |
| E0570 |
Nebulizer with compression |
2,095 |
1,399 |
$5K |
| A7038 |
Pos airway pressure filter |
4,536 |
3,176 |
$4K |
| A7030 |
Cpap full face mask |
1,812 |
1,304 |
$4K |
| A7031 |
Replacement facemask interfa |
1,856 |
1,346 |
$4K |
| A4604 |
Tubing with heating element |
2,882 |
2,004 |
$4K |
| A7034 |
Nasal application device |
2,476 |
1,692 |
$4K |
| A7035 |
Pos airway press headgear |
2,399 |
1,678 |
$3K |
| A7033 |
Replacement nasal pillows |
892 |
636 |
$2K |
| A7032 |
Replacement nasal cushion |
504 |
359 |
$1K |
| A7046 |
Repl water chamber, pap dev |
1,350 |
906 |
$1K |
| A7037 |
Pos airway pressure tubing |
920 |
630 |
$993.32 |