| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,450 |
11,839 |
$536K |
| E0601 |
Cont airway pressure device |
7,550 |
6,587 |
$230K |
| E0466 |
Home vent non-invasive inter |
404 |
303 |
$54K |
| E0470 |
Rad w/o backup non-inv intfc |
774 |
660 |
$49K |
| E0431 |
Portable gaseous 02 |
6,704 |
5,721 |
$37K |
| E0562 |
Humidifier heated used w pap |
4,017 |
3,723 |
$17K |
| E0570 |
Nebulizer with compression |
1,933 |
1,578 |
$10K |
| A7031 |
Replacement facemask interfa |
2,684 |
2,173 |
$10K |
| A7030 |
Cpap full face mask |
2,108 |
1,722 |
$8K |
| E1392 |
Portable oxygen concentrator |
2,038 |
1,624 |
$8K |
| A7038 |
Pos airway pressure filter |
4,341 |
3,499 |
$6K |
| A7037 |
Pos airway pressure tubing |
663 |
573 |
$5K |
| A7034 |
Nasal application device |
860 |
689 |
$3K |
| A7035 |
Pos airway press headgear |
1,693 |
1,379 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
134 |
84 |
$2K |
| A4604 |
Tubing with heating element |
2,109 |
1,653 |
$1K |
| A7032 |
Replacement nasal cushion |
446 |
370 |
$1K |
| A7046 |
Repl water chamber, pap dev |
798 |
648 |
$805.99 |
| A7039 |
Filter, non disposable w pap |
214 |
177 |
$415.89 |
| A7033 |
Replacement nasal pillows |
304 |
246 |
$152.69 |
| E0443 |
Portable 02 contents, gas |
24 |
24 |
$0.00 |