| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,847 |
8,788 |
$752K |
| E0601 |
Cont airway pressure device |
6,906 |
4,833 |
$212K |
| A7038 |
Pos airway pressure filter |
2,615 |
2,169 |
$20K |
| E0430 |
Oxygen system gas portable |
644 |
457 |
$18K |
| E0570 |
Nebulizer with compression |
1,575 |
1,268 |
$15K |
| A7031 |
Replacement facemask interfa |
1,229 |
1,008 |
$14K |
| A4604 |
Tubing with heating element |
2,080 |
1,683 |
$10K |
| A7030 |
Cpap full face mask |
861 |
695 |
$9K |
| A7034 |
Nasal application device |
743 |
580 |
$8K |
| A7035 |
Pos airway press headgear |
1,022 |
824 |
$7K |
| A7032 |
Replacement nasal cushion |
378 |
337 |
$4K |
| A7046 |
Repl water chamber, pap dev |
533 |
444 |
$2K |
| E0431 |
Portable gaseous 02 |
1,867 |
1,541 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
19 |
12 |
$2K |
| E1392 |
Portable oxygen concentrator |
495 |
463 |
$2K |