| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,924 |
9,841 |
$331K |
| E0601 |
Cont airway pressure device |
9,806 |
6,083 |
$191K |
| A7030 |
Cpap full face mask |
2,794 |
2,020 |
$94K |
| E0562 |
Humidifier heated used w pap |
737 |
566 |
$63K |
| A7034 |
Nasal application device |
1,775 |
1,307 |
$34K |
| K0738 |
Portable gas oxygen system |
4,457 |
2,307 |
$32K |
| E0470 |
Rad w/o backup non-inv intfc |
1,128 |
611 |
$32K |
| A7035 |
Pos airway press headgear |
3,105 |
2,306 |
$23K |
| A7031 |
Replacement facemask interfa |
2,366 |
1,559 |
$22K |
| A7037 |
Pos airway pressure tubing |
3,102 |
2,296 |
$20K |
| E0466 |
Home vent non-invasive inter |
267 |
124 |
$19K |
| E1392 |
Portable oxygen concentrator |
3,524 |
1,995 |
$18K |
| E0431 |
Portable gaseous 02 |
2,792 |
1,460 |
$12K |
| A4604 |
Tubing with heating element |
717 |
568 |
$8K |
| A7038 |
Pos airway pressure filter |
4,621 |
3,246 |
$8K |
| A7032 |
Replacement nasal cushion |
504 |
359 |
$5K |
| E0570 |
Nebulizer with compression |
638 |
373 |
$4K |
| A7046 |
Repl water chamber, pap dev |
1,304 |
987 |
$4K |
| K0001 |
Standard wheelchair |
637 |
318 |
$2K |
| A7013 |
Disposable compressor filter |
12 |
12 |
$3.56 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$0.99 |