| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,690 |
18,245 |
$1.39M |
| E0431 |
Portable gaseous 02 |
9,635 |
8,503 |
$116K |
| E0601 |
Cont airway pressure device |
1,448 |
1,273 |
$99K |
| A7031 |
Replacement facemask interfa |
2,736 |
2,405 |
$85K |
| A7030 |
Cpap full face mask |
984 |
888 |
$80K |
| E0441 |
Stationary o2 contents, gas |
1,109 |
983 |
$76K |
| E0562 |
Humidifier heated used w pap |
873 |
734 |
$52K |
| A7037 |
Pos airway pressure tubing |
2,343 |
2,081 |
$40K |
| K0738 |
Portable gas oxygen system |
1,319 |
1,175 |
$34K |
| E0470 |
Rad w/o backup non-inv intfc |
236 |
216 |
$32K |
| A7035 |
Pos airway press headgear |
1,791 |
1,592 |
$31K |
| E0570 |
Nebulizer with compression |
1,066 |
900 |
$31K |
| A7038 |
Pos airway pressure filter |
3,742 |
3,334 |
$17K |
| A7032 |
Replacement nasal cushion |
435 |
387 |
$14K |
| A7039 |
Filter, non disposable w pap |
616 |
544 |
$4K |
| B4150 |
Ef complet w/intact nutrient |
44 |
38 |
$4K |
| E0442 |
Stationary o2 contents, liq |
63 |
38 |
$3K |
| A7046 |
Repl water chamber, pap dev |
283 |
252 |
$3K |
| A7034 |
Nasal application device |
29 |
25 |
$1K |
| A7003 |
Nebulizer administration set |
39 |
38 |
$132.78 |