| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,230 |
9,552 |
$770K |
| E0601 |
Cont airway pressure device |
3,842 |
3,416 |
$148K |
| A7030 |
Cpap full face mask |
1,094 |
952 |
$95K |
| E0431 |
Portable gaseous 02 |
7,096 |
5,958 |
$83K |
| A7031 |
Replacement facemask interfa |
2,193 |
1,951 |
$78K |
| A4604 |
Tubing with heating element |
2,173 |
1,933 |
$77K |
| E0570 |
Nebulizer with compression |
1,045 |
921 |
$36K |
| A7035 |
Pos airway press headgear |
1,736 |
1,528 |
$32K |
| E0470 |
Rad w/o backup non-inv intfc |
392 |
354 |
$28K |
| A7038 |
Pos airway pressure filter |
3,574 |
3,188 |
$17K |
| A7046 |
Repl water chamber, pap dev |
882 |
762 |
$9K |
| S5161 |
Emer rspns sys serv permonth |
218 |
207 |
$7K |
| E1392 |
Portable oxygen concentrator |
92 |
85 |
$3K |
| A7003 |
Nebulizer administration set |
521 |
483 |
$1K |
| A7032 |
Replacement nasal cushion |
34 |
25 |
$955.49 |
| A7015 |
Aerosol mask used w nebulize |
126 |
122 |
$112.77 |
| E1399 |
Durable medical equipment mi |
129 |
86 |
$49.70 |
| A4615 |
Cannula nasal |
460 |
360 |
$29.01 |
| A4616 |
Tubing (oxygen) per foot |
147 |
130 |
$7.21 |