| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
305 |
298 |
$9K |
| E0601 |
Cont airway pressure device |
194 |
194 |
$8K |
| E0570 |
Nebulizer with compression |
501 |
500 |
$5K |
| A7030 |
Cpap full face mask |
109 |
107 |
$4K |
| A7031 |
Replacement facemask interfa |
130 |
127 |
$3K |
| A7034 |
Nasal application device |
94 |
91 |
$3K |
| A4604 |
Tubing with heating element |
108 |
108 |
$2K |
| A7035 |
Pos airway press headgear |
176 |
171 |
$1K |
| A7038 |
Pos airway pressure filter |
327 |
319 |
$1K |
| A7033 |
Replacement nasal pillows |
25 |
25 |
$1K |
| E1392 |
Portable oxygen concentrator |
77 |
76 |
$965.86 |
| A7032 |
Replacement nasal cushion |
18 |
17 |
$631.93 |
| E0431 |
Portable gaseous 02 |
104 |
102 |
$514.06 |
| A7005 |
Nondisposable nebulizer set |
31 |
31 |
$498.79 |
| T4541 |
Large disposable underpad |
12 |
12 |
$477.00 |
| A7046 |
Repl water chamber, pap dev |
91 |
88 |
$394.42 |
| A7037 |
Pos airway pressure tubing |
36 |
35 |
$337.86 |
| A7039 |
Filter, non disposable w pap |
65 |
64 |
$271.31 |
| T4537 |
Reusable underpad bed size |
12 |
12 |
$190.10 |