| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,447 |
6,683 |
$449K |
| E0601 |
Cont airway pressure device |
3,213 |
2,817 |
$144K |
| A9276 |
Disposable sensor, cgm sys |
300 |
271 |
$130K |
| K0738 |
Portable gas oxygen system |
4,201 |
3,810 |
$121K |
| A7030 |
Cpap full face mask |
1,940 |
1,598 |
$119K |
| E0441 |
Stationary o2 contents, gas |
1,702 |
1,428 |
$74K |
| A4604 |
Tubing with heating element |
2,723 |
2,186 |
$62K |
| A7031 |
Replacement facemask interfa |
2,240 |
1,832 |
$60K |
| A7034 |
Nasal application device |
1,436 |
1,183 |
$56K |
| E0562 |
Humidifier heated used w pap |
408 |
353 |
$41K |
| A7035 |
Pos airway press headgear |
2,101 |
1,762 |
$31K |
| A7032 |
Replacement nasal cushion |
1,043 |
861 |
$17K |
| A7038 |
Pos airway pressure filter |
4,673 |
3,791 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,790 |
1,506 |
$17K |
| E1392 |
Portable oxygen concentrator |
244 |
196 |
$5K |
| E0570 |
Nebulizer with compression |
167 |
156 |
$2K |
| E0431 |
Portable gaseous 02 |
131 |
107 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
16 |
12 |
$868.84 |
| A9999 |
Dme supply or accessory, nos |
32 |
12 |
$221.13 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$207.17 |
| A7000 |
Disposable canister for pump |
28 |
25 |
$94.35 |
| A7002 |
Tubing used w suction pump |
17 |
12 |
$25.05 |