| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,526 |
10,594 |
$457K |
| E0601 |
Cont airway pressure device |
6,078 |
4,850 |
$191K |
| E0466 |
Home vent non-invasive inter |
262 |
211 |
$160K |
| A7030 |
Cpap full face mask |
1,373 |
918 |
$67K |
| E0562 |
Humidifier heated used w pap |
2,252 |
1,910 |
$54K |
| E1392 |
Portable oxygen concentrator |
4,707 |
3,302 |
$47K |
| K0738 |
Portable gas oxygen system |
3,423 |
2,320 |
$38K |
| A7034 |
Nasal application device |
879 |
615 |
$34K |
| A7031 |
Replacement facemask interfa |
1,054 |
718 |
$24K |
| A7035 |
Pos airway press headgear |
1,919 |
1,318 |
$21K |
| E0470 |
Rad w/o backup non-inv intfc |
95 |
89 |
$17K |
| A7037 |
Pos airway pressure tubing |
2,100 |
1,371 |
$16K |
| E0570 |
Nebulizer with compression |
2,553 |
1,735 |
$15K |
| A4604 |
Tubing with heating element |
316 |
263 |
$12K |
| A7038 |
Pos airway pressure filter |
3,361 |
2,271 |
$11K |
| E0431 |
Portable gaseous 02 |
1,281 |
934 |
$10K |
| A7032 |
Replacement nasal cushion |
125 |
111 |
$6K |
| A7046 |
Repl water chamber, pap dev |
660 |
476 |
$5K |
| A7033 |
Replacement nasal pillows |
113 |
107 |
$4K |
| A7005 |
Nondisposable nebulizer set |
38 |
31 |
$543.84 |
| A7003 |
Nebulizer administration set |
33 |
29 |
$16.37 |
| A7013 |
Disposable compressor filter |
36 |
29 |
$15.00 |