| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,938 |
13,982 |
$608K |
| E0601 |
Cont airway pressure device |
2,990 |
2,749 |
$108K |
| E0431 |
Portable gaseous 02 |
6,636 |
6,184 |
$86K |
| A7030 |
Cpap full face mask |
905 |
842 |
$38K |
| E0562 |
Humidifier heated used w pap |
1,023 |
916 |
$29K |
| E0570 |
Nebulizer with compression |
1,922 |
1,808 |
$26K |
| A7031 |
Replacement facemask interfa |
989 |
915 |
$21K |
| A7035 |
Pos airway press headgear |
1,319 |
1,232 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,657 |
1,540 |
$14K |
| A7038 |
Pos airway pressure filter |
5,058 |
4,755 |
$11K |
| A7034 |
Nasal application device |
287 |
263 |
$6K |
| A4604 |
Tubing with heating element |
232 |
212 |
$4K |
| E1392 |
Portable oxygen concentrator |
260 |
250 |
$4K |
| A7003 |
Nebulizer administration set |
1,243 |
1,106 |
$2K |
| A7032 |
Replacement nasal cushion |
41 |
37 |
$784.82 |
| E0443 |
Portable 02 contents, gas |
12 |
12 |
$145.19 |
| A7046 |
Repl water chamber, pap dev |
28 |
24 |
$50.10 |
| A7015 |
Aerosol mask used w nebulize |
29 |
26 |
$11.90 |