| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,509 |
1,992 |
$68K |
| E0601 |
Cont airway pressure device |
2,791 |
2,366 |
$55K |
| E0562 |
Humidifier heated used w pap |
2,306 |
1,964 |
$32K |
| A7030 |
Cpap full face mask |
735 |
612 |
$10K |
| E0431 |
Portable gaseous 02 |
1,050 |
848 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
90 |
80 |
$4K |
| A7031 |
Replacement facemask interfa |
1,312 |
1,075 |
$3K |
| A7034 |
Nasal application device |
571 |
475 |
$2K |
| E1392 |
Portable oxygen concentrator |
419 |
375 |
$2K |
| A4604 |
Tubing with heating element |
1,195 |
980 |
$1K |
| A7038 |
Pos airway pressure filter |
2,778 |
2,260 |
$1K |
| A7037 |
Pos airway pressure tubing |
127 |
114 |
$1K |
| A7033 |
Replacement nasal pillows |
402 |
317 |
$440.98 |
| A7035 |
Pos airway press headgear |
689 |
568 |
$368.08 |
| A7032 |
Replacement nasal cushion |
596 |
494 |
$262.75 |
| E0570 |
Nebulizer with compression |
13 |
12 |
$75.90 |
| A7046 |
Repl water chamber, pap dev |
544 |
457 |
$73.56 |