| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
34,784 |
32,542 |
$1.73M |
| E0441 |
Stationary o2 contents, gas |
8,122 |
7,439 |
$368K |
| E0431 |
Portable gaseous 02 |
21,860 |
20,488 |
$232K |
| A7030 |
Cpap full face mask |
1,797 |
1,641 |
$122K |
| E0601 |
Cont airway pressure device |
2,439 |
2,082 |
$96K |
| E0466 |
Home vent non-invasive inter |
202 |
191 |
$76K |
| E0562 |
Humidifier heated used w pap |
1,430 |
1,204 |
$67K |
| A7031 |
Replacement facemask interfa |
2,148 |
1,959 |
$64K |
| A7034 |
Nasal application device |
1,300 |
1,171 |
$46K |
| A4604 |
Tubing with heating element |
2,093 |
1,852 |
$44K |
| A7035 |
Pos airway press headgear |
2,211 |
2,014 |
$33K |
| A7046 |
Repl water chamber, pap dev |
1,876 |
1,723 |
$17K |
| A7038 |
Pos airway pressure filter |
4,725 |
4,326 |
$14K |
| A7032 |
Replacement nasal cushion |
504 |
441 |
$12K |
| E1392 |
Portable oxygen concentrator |
1,178 |
1,094 |
$11K |
| A7037 |
Pos airway pressure tubing |
420 |
395 |
$5K |
| E0570 |
Nebulizer with compression |
597 |
538 |
$4K |
| E0442 |
Stationary o2 contents, liq |
256 |
126 |
$3K |
| A7033 |
Replacement nasal pillows |
70 |
65 |
$1K |
| E0443 |
Portable 02 contents, gas |
218 |
132 |
$1K |
| A7003 |
Nebulizer administration set |
345 |
292 |
$358.93 |