| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,638 |
7,587 |
$558K |
| E0601 |
Cont airway pressure device |
9,272 |
9,250 |
$412K |
| A7030 |
Cpap full face mask |
5,925 |
5,897 |
$406K |
| A7031 |
Replacement facemask interfa |
5,533 |
5,512 |
$316K |
| A7034 |
Nasal application device |
5,410 |
5,394 |
$200K |
| A7032 |
Replacement nasal cushion |
2,901 |
2,891 |
$175K |
| A4604 |
Tubing with heating element |
8,642 |
8,614 |
$163K |
| E0562 |
Humidifier heated used w pap |
9,046 |
9,014 |
$135K |
| A7033 |
Replacement nasal pillows |
2,295 |
2,279 |
$96K |
| A7035 |
Pos airway press headgear |
7,120 |
7,096 |
$93K |
| A7038 |
Pos airway pressure filter |
12,224 |
12,181 |
$75K |
| E0470 |
Rad w/o backup non-inv intfc |
720 |
720 |
$61K |
| E0431 |
Portable gaseous 02 |
3,776 |
3,727 |
$51K |
| E1392 |
Portable oxygen concentrator |
1,295 |
1,294 |
$30K |
| A7037 |
Pos airway pressure tubing |
2,011 |
2,009 |
$26K |
| A7046 |
Repl water chamber, pap dev |
4,361 |
4,349 |
$21K |
| E0570 |
Nebulizer with compression |
449 |
449 |
$13K |
| A7005 |
Nondisposable nebulizer set |
25 |
25 |
$498.56 |
| A7003 |
Nebulizer administration set |
27 |
27 |
$49.65 |