| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,280 |
6,953 |
$356K |
| E0601 |
Cont airway pressure device |
4,594 |
4,406 |
$312K |
| A7034 |
Nasal application device |
2,413 |
2,334 |
$129K |
| A7030 |
Cpap full face mask |
1,823 |
1,749 |
$122K |
| A4604 |
Tubing with heating element |
3,985 |
3,849 |
$114K |
| E0562 |
Humidifier heated used w pap |
716 |
701 |
$97K |
| A7035 |
Pos airway press headgear |
3,305 |
3,212 |
$63K |
| K0738 |
Portable gas oxygen system |
3,371 |
3,227 |
$60K |
| E1392 |
Portable oxygen concentrator |
2,643 |
2,496 |
$47K |
| A7031 |
Replacement facemask interfa |
1,194 |
1,130 |
$28K |
| A7038 |
Pos airway pressure filter |
4,325 |
4,175 |
$23K |
| A7046 |
Repl water chamber, pap dev |
1,754 |
1,710 |
$16K |
| A7039 |
Filter, non disposable w pap |
1,510 |
1,472 |
$11K |
| E0570 |
Nebulizer with compression |
527 |
478 |
$9K |
| A7032 |
Replacement nasal cushion |
336 |
318 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$3K |
| A7033 |
Replacement nasal pillows |
175 |
170 |
$3K |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$141.39 |