| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,697 |
6,236 |
$262K |
| E0601 |
Cont airway pressure device |
1,936 |
1,890 |
$98K |
| A7030 |
Cpap full face mask |
1,208 |
1,161 |
$98K |
| A7031 |
Replacement facemask interfa |
2,247 |
2,192 |
$84K |
| E0470 |
Rad w/o backup non-inv intfc |
535 |
522 |
$53K |
| A4604 |
Tubing with heating element |
1,612 |
1,549 |
$51K |
| E0562 |
Humidifier heated used w pap |
2,770 |
2,695 |
$38K |
| E0431 |
Portable gaseous 02 |
4,593 |
4,247 |
$32K |
| A7038 |
Pos airway pressure filter |
3,624 |
3,498 |
$17K |
| A7035 |
Pos airway press headgear |
967 |
929 |
$15K |
| E1392 |
Portable oxygen concentrator |
637 |
617 |
$11K |
| A7034 |
Nasal application device |
252 |
240 |
$11K |
| A7032 |
Replacement nasal cushion |
242 |
236 |
$10K |
| A7046 |
Repl water chamber, pap dev |
666 |
645 |
$7K |
| A7033 |
Replacement nasal pillows |
54 |
54 |
$2K |
| E0570 |
Nebulizer with compression |
75 |
75 |
$198.70 |