| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
23,617 |
11,546 |
$601K |
| E0466 |
Home vent non-invasive inter |
2,459 |
1,160 |
$424K |
| E0601 |
Cont airway pressure device |
11,428 |
6,820 |
$241K |
| A7030 |
Cpap full face mask |
2,799 |
1,909 |
$106K |
| E0470 |
Rad w/o backup non-inv intfc |
2,194 |
1,151 |
$88K |
| E0562 |
Humidifier heated used w pap |
921 |
691 |
$84K |
| K0738 |
Portable gas oxygen system |
7,503 |
3,812 |
$64K |
| A7034 |
Nasal application device |
1,672 |
1,189 |
$37K |
| A7037 |
Pos airway pressure tubing |
3,953 |
2,688 |
$28K |
| A7035 |
Pos airway press headgear |
3,531 |
2,466 |
$28K |
| E1392 |
Portable oxygen concentrator |
4,029 |
2,162 |
$27K |
| A7031 |
Replacement facemask interfa |
2,294 |
1,498 |
$27K |
| E0431 |
Portable gaseous 02 |
3,842 |
2,036 |
$26K |
| A7038 |
Pos airway pressure filter |
5,081 |
3,435 |
$10K |
| A4604 |
Tubing with heating element |
450 |
376 |
$6K |
| A7032 |
Replacement nasal cushion |
444 |
358 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,161 |
889 |
$4K |
| E0570 |
Nebulizer with compression |
178 |
105 |
$2K |
| A7033 |
Replacement nasal pillows |
33 |
25 |
$379.35 |
| A7039 |
Filter, non disposable w pap |
21 |
14 |
$49.51 |