| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
4,988 |
4,464 |
$214K |
| E1390 |
Oxygen concentrator |
5,117 |
4,276 |
$188K |
| E0570 |
Nebulizer with compression |
4,234 |
3,688 |
$80K |
| E0562 |
Humidifier heated used w pap |
2,819 |
2,590 |
$61K |
| A4604 |
Tubing with heating element |
2,463 |
2,154 |
$60K |
| A7030 |
Cpap full face mask |
746 |
664 |
$48K |
| A7031 |
Replacement facemask interfa |
1,559 |
1,390 |
$34K |
| E0431 |
Portable gaseous 02 |
3,225 |
2,648 |
$24K |
| A7035 |
Pos airway press headgear |
1,893 |
1,641 |
$23K |
| A7005 |
Nondisposable nebulizer set |
992 |
853 |
$13K |
| A7038 |
Pos airway pressure filter |
3,748 |
3,316 |
$10K |
| A7034 |
Nasal application device |
209 |
197 |
$9K |
| A7032 |
Replacement nasal cushion |
351 |
307 |
$8K |
| A7046 |
Repl water chamber, pap dev |
217 |
199 |
$979.26 |
| A7015 |
Aerosol mask used w nebulize |
935 |
780 |
$732.35 |
| A7014 |
Compressor nondispos filter |
287 |
244 |
$672.94 |
| A7013 |
Disposable compressor filter |
701 |
598 |
$557.29 |
| A7003 |
Nebulizer administration set |
219 |
190 |
$399.07 |
| A7039 |
Filter, non disposable w pap |
81 |
68 |
$235.54 |