| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,783 |
5,477 |
$382K |
| E0601 |
Cont airway pressure device |
4,186 |
3,723 |
$223K |
| E0470 |
Rad w/o backup non-inv intfc |
428 |
397 |
$50K |
| E0431 |
Portable gaseous 02 |
3,978 |
3,328 |
$24K |
| E0562 |
Humidifier heated used w pap |
3,091 |
2,936 |
$14K |
| E0570 |
Nebulizer with compression |
805 |
573 |
$5K |
| E1392 |
Portable oxygen concentrator |
611 |
491 |
$3K |
| A7038 |
Pos airway pressure filter |
755 |
504 |
$259.58 |
| A4604 |
Tubing with heating element |
270 |
176 |
$130.08 |
| A7034 |
Nasal application device |
114 |
67 |
$118.81 |
| A7035 |
Pos airway press headgear |
48 |
38 |
$46.27 |
| A7031 |
Replacement facemask interfa |
16 |
12 |
$0.00 |
| A7030 |
Cpap full face mask |
28 |
24 |
$0.00 |