| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,722 |
6,671 |
$291K |
| A7030 |
Cpap full face mask |
1,968 |
1,801 |
$98K |
| E0431 |
Portable gaseous 02 |
5,392 |
4,107 |
$69K |
| A7031 |
Replacement facemask interfa |
2,334 |
2,080 |
$50K |
| E0601 |
Cont airway pressure device |
2,488 |
1,823 |
$45K |
| A7037 |
Pos airway pressure tubing |
2,685 |
2,403 |
$34K |
| E0562 |
Humidifier heated used w pap |
3,213 |
2,240 |
$24K |
| A7035 |
Pos airway press headgear |
2,148 |
2,027 |
$24K |
| E1392 |
Portable oxygen concentrator |
1,280 |
1,027 |
$17K |
| A7046 |
Repl water chamber, pap dev |
2,844 |
2,673 |
$17K |
| A7034 |
Nasal application device |
512 |
491 |
$14K |
| A7038 |
Pos airway pressure filter |
4,801 |
4,408 |
$13K |
| A7032 |
Replacement nasal cushion |
145 |
138 |
$3K |
| E0570 |
Nebulizer with compression |
591 |
477 |
$2K |
| E0603 |
Electric breast pump |
18 |
16 |
$1K |
| A7039 |
Filter, non disposable w pap |
203 |
187 |
$565.35 |
| A7003 |
Nebulizer administration set |
152 |
136 |
$158.90 |
| A7002 |
Tubing used w suction pump |
16 |
12 |
$39.63 |