| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,043 |
4,703 |
$222K |
| E0601 |
Cont airway pressure device |
4,578 |
3,691 |
$143K |
| E0431 |
Portable gaseous 02 |
2,829 |
2,251 |
$38K |
| E0470 |
Rad w/o backup non-inv intfc |
215 |
203 |
$14K |
| E0562 |
Humidifier heated used w pap |
2,392 |
2,183 |
$14K |
| E0570 |
Nebulizer with compression |
1,892 |
1,555 |
$11K |
| E1392 |
Portable oxygen concentrator |
1,846 |
1,485 |
$9K |
| A7031 |
Replacement facemask interfa |
971 |
722 |
$2K |
| A4604 |
Tubing with heating element |
1,528 |
1,102 |
$2K |
| A7030 |
Cpap full face mask |
678 |
504 |
$2K |
| K0001 |
Standard wheelchair |
128 |
106 |
$1K |
| A7038 |
Pos airway pressure filter |
2,812 |
2,096 |
$810.61 |
| A7032 |
Replacement nasal cushion |
533 |
414 |
$798.75 |
| A7033 |
Replacement nasal pillows |
375 |
311 |
$598.36 |
| A7034 |
Nasal application device |
918 |
693 |
$557.60 |
| A7035 |
Pos airway press headgear |
742 |
568 |
$336.42 |
| A7046 |
Repl water chamber, pap dev |
468 |
365 |
$57.44 |
| A7037 |
Pos airway pressure tubing |
69 |
53 |
$6.01 |