| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,807 |
1,569 |
$499K |
| E1390 |
Oxygen concentrator |
3,971 |
3,812 |
$262K |
| A7030 |
Cpap full face mask |
1,730 |
1,712 |
$155K |
| A4604 |
Tubing with heating element |
3,017 |
2,979 |
$126K |
| A7031 |
Replacement facemask interfa |
2,855 |
2,734 |
$116K |
| E0562 |
Humidifier heated used w pap |
719 |
704 |
$111K |
| E0470 |
Rad w/o backup non-inv intfc |
173 |
148 |
$95K |
| A7034 |
Nasal application device |
1,352 |
1,323 |
$81K |
| A7035 |
Pos airway press headgear |
1,962 |
1,930 |
$39K |
| A7032 |
Replacement nasal cushion |
1,311 |
1,153 |
$37K |
| A7033 |
Replacement nasal pillows |
1,155 |
1,024 |
$27K |
| A7038 |
Pos airway pressure filter |
6,945 |
5,971 |
$25K |
| K0738 |
Portable gas oxygen system |
715 |
695 |
$19K |
| A7046 |
Repl water chamber, pap dev |
1,236 |
1,216 |
$17K |
| E1392 |
Portable oxygen concentrator |
1,081 |
1,036 |
$16K |
| E0570 |
Nebulizer with compression |
491 |
451 |
$11K |
| E0431 |
Portable gaseous 02 |
335 |
328 |
$4K |
| A7005 |
Nondisposable nebulizer set |
14 |
14 |
$153.84 |
| A0425 |
Ground mileage |
25 |
22 |
$0.00 |