| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,198 |
10,946 |
$409K |
| E0601 |
Cont airway pressure device |
11,634 |
10,398 |
$236K |
| A7030 |
Cpap full face mask |
3,735 |
3,207 |
$181K |
| E0562 |
Humidifier heated used w pap |
1,693 |
1,412 |
$134K |
| E0431 |
Portable gaseous 02 |
3,428 |
2,992 |
$128K |
| A7031 |
Replacement facemask interfa |
4,342 |
3,738 |
$101K |
| E0466 |
Home vent non-invasive inter |
516 |
443 |
$85K |
| A7034 |
Nasal application device |
2,409 |
2,063 |
$75K |
| A7035 |
Pos airway press headgear |
5,810 |
4,994 |
$67K |
| A7037 |
Pos airway pressure tubing |
6,311 |
5,337 |
$63K |
| E0470 |
Rad w/o backup non-inv intfc |
1,407 |
1,168 |
$57K |
| K0738 |
Portable gas oxygen system |
701 |
656 |
$47K |
| A7032 |
Replacement nasal cushion |
2,220 |
1,926 |
$36K |
| A7038 |
Pos airway pressure filter |
7,343 |
6,414 |
$27K |
| E0570 |
Nebulizer with compression |
3,439 |
2,988 |
$27K |
| E0445 |
Oximeter non-invasive |
113 |
113 |
$23K |
| E0443 |
Portable 02 contents, gas |
618 |
460 |
$16K |
| A7046 |
Repl water chamber, pap dev |
2,839 |
2,359 |
$15K |
| A7039 |
Filter, non disposable w pap |
3,177 |
2,709 |
$12K |
| E1392 |
Portable oxygen concentrator |
2,117 |
1,734 |
$10K |
| A4604 |
Tubing with heating element |
199 |
166 |
$3K |
| A7003 |
Nebulizer administration set |
807 |
673 |
$1K |
| A7000 |
Disposable canister for pump |
19 |
12 |
$145.38 |
| A7013 |
Disposable compressor filter |
28 |
26 |
$10.74 |