| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,103 |
8,191 |
$301K |
| E0601 |
Cont airway pressure device |
9,331 |
6,895 |
$182K |
| A7030 |
Cpap full face mask |
3,101 |
2,734 |
$171K |
| E0431 |
Portable gaseous 02 |
4,532 |
4,125 |
$124K |
| A7031 |
Replacement facemask interfa |
3,959 |
3,431 |
$111K |
| A7034 |
Nasal application device |
2,586 |
2,309 |
$91K |
| E0470 |
Rad w/o backup non-inv intfc |
1,823 |
1,293 |
$74K |
| E0562 |
Humidifier heated used w pap |
1,213 |
1,112 |
$69K |
| A7037 |
Pos airway pressure tubing |
5,564 |
4,814 |
$63K |
| A7035 |
Pos airway press headgear |
3,916 |
3,430 |
$54K |
| A7038 |
Pos airway pressure filter |
10,584 |
9,426 |
$51K |
| A7032 |
Replacement nasal cushion |
1,642 |
1,407 |
$33K |
| A7046 |
Repl water chamber, pap dev |
2,768 |
2,512 |
$20K |
| A7033 |
Replacement nasal pillows |
922 |
803 |
$15K |
| A7039 |
Filter, non disposable w pap |
1,828 |
1,632 |
$10K |
| E0570 |
Nebulizer with compression |
1,032 |
947 |
$6K |
| A4604 |
Tubing with heating element |
171 |
153 |
$2K |
| K0001 |
Standard wheelchair |
654 |
569 |
$1K |
| E1392 |
Portable oxygen concentrator |
138 |
120 |
$819.83 |