| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,321 |
5,620 |
$399K |
| E0601 |
Cont airway pressure device |
2,520 |
2,147 |
$123K |
| A7030 |
Cpap full face mask |
1,354 |
1,153 |
$94K |
| K0738 |
Portable gas oxygen system |
3,184 |
2,808 |
$84K |
| A7034 |
Nasal application device |
1,603 |
1,391 |
$75K |
| A4604 |
Tubing with heating element |
1,959 |
1,611 |
$49K |
| A7031 |
Replacement facemask interfa |
1,713 |
1,424 |
$48K |
| E0441 |
Stationary o2 contents, gas |
839 |
699 |
$35K |
| A7035 |
Pos airway press headgear |
1,918 |
1,651 |
$31K |
| E0562 |
Humidifier heated used w pap |
150 |
123 |
$22K |
| A7038 |
Pos airway pressure filter |
4,580 |
3,814 |
$19K |
| A7032 |
Replacement nasal cushion |
875 |
739 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,366 |
1,178 |
$14K |
| E0431 |
Portable gaseous 02 |
845 |
744 |
$11K |
| A7033 |
Replacement nasal pillows |
716 |
582 |
$10K |
| E1392 |
Portable oxygen concentrator |
422 |
343 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
38 |
24 |
$4K |
| K0001 |
Standard wheelchair |
143 |
139 |
$3K |
| A7037 |
Pos airway pressure tubing |
112 |
106 |
$2K |
| E0570 |
Nebulizer with compression |
276 |
263 |
$2K |