| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,413 |
11,032 |
$820K |
| E1390 |
Oxygen concentrator |
12,166 |
12,007 |
$814K |
| E0470 |
Rad w/o backup non-inv intfc |
1,370 |
1,338 |
$263K |
| E0562 |
Humidifier heated used w pap |
6,698 |
6,450 |
$240K |
| A7030 |
Cpap full face mask |
3,776 |
3,735 |
$239K |
| A9900 |
Supply/accessory/service |
396 |
392 |
$105K |
| A7034 |
Nasal application device |
3,198 |
3,169 |
$89K |
| A7035 |
Pos airway press headgear |
6,871 |
6,817 |
$88K |
| E0431 |
Portable gaseous 02 |
5,815 |
5,755 |
$77K |
| A7031 |
Replacement facemask interfa |
2,562 |
2,539 |
$70K |
| A7037 |
Pos airway pressure tubing |
5,821 |
5,797 |
$58K |
| E0570 |
Nebulizer with compression |
1,392 |
1,376 |
$41K |
| E0471 |
Rad w/backup non inv intrfc |
233 |
226 |
$36K |
| A7032 |
Replacement nasal cushion |
1,424 |
1,402 |
$32K |
| A7038 |
Pos airway pressure filter |
7,710 |
7,525 |
$25K |
| A4604 |
Tubing with heating element |
1,341 |
1,326 |
$10K |
| A7046 |
Repl water chamber, pap dev |
743 |
733 |
$6K |
| A7033 |
Replacement nasal pillows |
53 |
53 |
$1K |
| A7005 |
Nondisposable nebulizer set |
44 |
44 |
$566.56 |
| A7039 |
Filter, non disposable w pap |
43 |
43 |
$76.16 |