| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,543 |
14,871 |
$971K |
| E0431 |
Portable gaseous 02 |
11,924 |
9,546 |
$103K |
| A7030 |
Cpap full face mask |
1,778 |
1,380 |
$76K |
| A7031 |
Replacement facemask interfa |
2,609 |
2,164 |
$59K |
| E0601 |
Cont airway pressure device |
1,409 |
1,170 |
$47K |
| E0562 |
Humidifier heated used w pap |
2,195 |
1,785 |
$20K |
| E0470 |
Rad w/o backup non-inv intfc |
223 |
171 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,810 |
1,445 |
$16K |
| A7038 |
Pos airway pressure filter |
3,895 |
3,267 |
$13K |
| A7035 |
Pos airway press headgear |
1,388 |
1,102 |
$12K |
| E1392 |
Portable oxygen concentrator |
1,419 |
1,110 |
$12K |
| E0570 |
Nebulizer with compression |
1,714 |
1,383 |
$6K |
| E0443 |
Portable 02 contents, gas |
698 |
564 |
$6K |
| A7046 |
Repl water chamber, pap dev |
813 |
668 |
$3K |
| A7034 |
Nasal application device |
90 |
77 |
$3K |
| A4604 |
Tubing with heating element |
103 |
83 |
$2K |
| A7032 |
Replacement nasal cushion |
13 |
13 |
$740.36 |
| A7039 |
Filter, non disposable w pap |
157 |
118 |
$478.35 |
| A7003 |
Nebulizer administration set |
426 |
337 |
$363.96 |