| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,336 |
12,216 |
$574K |
| E0466 |
Home vent non-invasive inter |
398 |
397 |
$200K |
| E0601 |
Cont airway pressure device |
4,631 |
4,606 |
$168K |
| A7030 |
Cpap full face mask |
3,163 |
3,140 |
$123K |
| A7031 |
Replacement facemask interfa |
4,039 |
3,998 |
$103K |
| E0470 |
Rad w/o backup non-inv intfc |
799 |
798 |
$76K |
| E0431 |
Portable gaseous 02 |
5,831 |
5,809 |
$70K |
| E0562 |
Humidifier heated used w pap |
5,491 |
5,466 |
$47K |
| A7034 |
Nasal application device |
2,055 |
2,051 |
$44K |
| A7038 |
Pos airway pressure filter |
6,713 |
6,636 |
$41K |
| A7032 |
Replacement nasal cushion |
1,538 |
1,533 |
$37K |
| A7035 |
Pos airway press headgear |
3,300 |
3,282 |
$33K |
| A7037 |
Pos airway pressure tubing |
2,767 |
2,749 |
$30K |
| E0570 |
Nebulizer with compression |
2,564 |
2,552 |
$22K |
| E1392 |
Portable oxygen concentrator |
3,381 |
3,307 |
$19K |
| A4604 |
Tubing with heating element |
2,333 |
2,316 |
$18K |
| A7033 |
Replacement nasal pillows |
973 |
965 |
$18K |
| A7046 |
Repl water chamber, pap dev |
3,557 |
3,540 |
$13K |
| A7003 |
Nebulizer administration set |
1,897 |
1,804 |
$2K |
| A7005 |
Nondisposable nebulizer set |
144 |
144 |
$657.38 |
| E0443 |
Portable 02 contents, gas |
17 |
17 |
$302.56 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$49.46 |
| A7015 |
Aerosol mask used w nebulize |
51 |
51 |
$28.67 |