| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,408 |
8,507 |
$386K |
| E0601 |
Cont airway pressure device |
4,385 |
4,188 |
$163K |
| E0470 |
Rad w/o backup non-inv intfc |
1,835 |
1,673 |
$147K |
| E0431 |
Portable gaseous 02 |
6,139 |
5,516 |
$92K |
| E0562 |
Humidifier heated used w pap |
950 |
872 |
$65K |
| A7030 |
Cpap full face mask |
1,018 |
953 |
$40K |
| A7034 |
Nasal application device |
1,541 |
1,431 |
$35K |
| A7035 |
Pos airway press headgear |
2,072 |
1,931 |
$26K |
| A7037 |
Pos airway pressure tubing |
2,132 |
2,013 |
$20K |
| A7032 |
Replacement nasal cushion |
563 |
506 |
$10K |
| A7038 |
Pos airway pressure filter |
3,970 |
3,582 |
$9K |
| A7039 |
Filter, non disposable w pap |
1,702 |
1,596 |
$9K |
| E0466 |
Home vent non-invasive inter |
15 |
12 |
$5K |
| A7031 |
Replacement facemask interfa |
135 |
124 |
$2K |
| E0570 |
Nebulizer with compression |
40 |
39 |
$854.75 |
| E1392 |
Portable oxygen concentrator |
37 |
37 |
$412.03 |
| A7046 |
Repl water chamber, pap dev |
114 |
106 |
$306.21 |
| A4604 |
Tubing with heating element |
28 |
24 |
$298.81 |
| A7033 |
Replacement nasal pillows |
13 |
12 |
$144.91 |
| A9279 |
Monitoring feature/devicenoc |
70 |
66 |
$0.00 |