| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,928 |
7,148 |
$442K |
| A7031 |
Replacement facemask interfa |
5,633 |
4,652 |
$176K |
| E0601 |
Cont airway pressure device |
5,434 |
4,508 |
$173K |
| A7030 |
Cpap full face mask |
2,745 |
2,256 |
$154K |
| A5512 |
Multi den insert direct form |
2,151 |
1,160 |
$93K |
| A5500 |
Diab shoe for density insert |
2,124 |
1,150 |
$88K |
| A4604 |
Tubing with heating element |
2,669 |
2,201 |
$62K |
| E0562 |
Humidifier heated used w pap |
2,347 |
1,960 |
$44K |
| E1392 |
Portable oxygen concentrator |
2,702 |
2,135 |
$36K |
| A7035 |
Pos airway press headgear |
2,621 |
2,130 |
$29K |
| A6530 |
Compression stocking bk18-30 |
572 |
271 |
$29K |
| E0570 |
Nebulizer with compression |
1,138 |
819 |
$19K |
| E0431 |
Portable gaseous 02 |
1,843 |
1,313 |
$15K |
| A7038 |
Pos airway pressure filter |
4,815 |
4,014 |
$13K |
| A7037 |
Pos airway pressure tubing |
1,325 |
1,048 |
$12K |
| A7039 |
Filter, non disposable w pap |
493 |
397 |
$2K |
| A7033 |
Replacement nasal pillows |
14 |
12 |
$291.22 |
| E0443 |
Portable 02 contents, gas |
18 |
13 |
$228.40 |
| A7005 |
Nondisposable nebulizer set |
17 |
12 |
$203.50 |
| A7046 |
Repl water chamber, pap dev |
43 |
38 |
$172.02 |