| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,387 |
11,786 |
$488K |
| A7030 |
Cpap full face mask |
1,837 |
1,380 |
$106K |
| A7031 |
Replacement facemask interfa |
3,116 |
2,502 |
$99K |
| E0601 |
Cont airway pressure device |
2,732 |
2,068 |
$90K |
| E0431 |
Portable gaseous 02 |
8,360 |
6,199 |
$55K |
| E0562 |
Humidifier heated used w pap |
2,778 |
2,137 |
$33K |
| A7034 |
Nasal application device |
919 |
657 |
$31K |
| A7032 |
Replacement nasal cushion |
778 |
593 |
$28K |
| A7037 |
Pos airway pressure tubing |
2,833 |
2,043 |
$27K |
| A7038 |
Pos airway pressure filter |
6,275 |
4,867 |
$22K |
| A7035 |
Pos airway press headgear |
1,808 |
1,335 |
$21K |
| A7033 |
Replacement nasal pillows |
364 |
262 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,167 |
866 |
$8K |
| E0570 |
Nebulizer with compression |
1,214 |
914 |
$8K |
| A4604 |
Tubing with heating element |
113 |
97 |
$4K |
| E1392 |
Portable oxygen concentrator |
689 |
471 |
$3K |
| A7003 |
Nebulizer administration set |
572 |
480 |
$395.68 |