| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,837 |
8,498 |
$396K |
| E0601 |
Cont airway pressure device |
7,628 |
5,205 |
$167K |
| A7030 |
Cpap full face mask |
3,387 |
2,271 |
$110K |
| A7031 |
Replacement facemask interfa |
3,827 |
2,500 |
$55K |
| E0431 |
Portable gaseous 02 |
6,846 |
4,622 |
$37K |
| E0470 |
Rad w/o backup non-inv intfc |
1,178 |
716 |
$34K |
| E0562 |
Humidifier heated used w pap |
529 |
368 |
$30K |
| A7034 |
Nasal application device |
1,316 |
969 |
$28K |
| A7035 |
Pos airway press headgear |
2,903 |
2,052 |
$21K |
| A4604 |
Tubing with heating element |
3,425 |
2,406 |
$20K |
| A7032 |
Replacement nasal cushion |
726 |
505 |
$13K |
| A7038 |
Pos airway pressure filter |
5,839 |
4,011 |
$13K |
| E1392 |
Portable oxygen concentrator |
1,532 |
1,002 |
$11K |
| E0570 |
Nebulizer with compression |
1,602 |
1,100 |
$6K |
| A7037 |
Pos airway pressure tubing |
305 |
233 |
$5K |
| A7046 |
Repl water chamber, pap dev |
1,070 |
800 |
$3K |
| A7033 |
Replacement nasal pillows |
152 |
110 |
$2K |
| K0001 |
Standard wheelchair |
152 |
104 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
14 |
12 |
$126.14 |