| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,802 |
8,558 |
$258K |
| E0601 |
Cont airway pressure device |
5,427 |
3,708 |
$138K |
| E0470 |
Rad w/o backup non-inv intfc |
704 |
499 |
$53K |
| A7031 |
Replacement facemask interfa |
2,161 |
1,684 |
$27K |
| A7030 |
Cpap full face mask |
1,810 |
1,362 |
$18K |
| A7038 |
Pos airway pressure filter |
3,088 |
2,454 |
$18K |
| E0430 |
Oxygen system gas portable |
662 |
561 |
$8K |
| A7035 |
Pos airway press headgear |
1,303 |
979 |
$7K |
| E1392 |
Portable oxygen concentrator |
1,324 |
1,018 |
$6K |
| A4604 |
Tubing with heating element |
1,021 |
735 |
$6K |
| E0562 |
Humidifier heated used w pap |
50 |
29 |
$5K |
| E0431 |
Portable gaseous 02 |
3,130 |
2,557 |
$4K |
| K0738 |
Portable gas oxygen system |
1,625 |
1,263 |
$4K |
| A7037 |
Pos airway pressure tubing |
1,266 |
994 |
$4K |
| A7034 |
Nasal application device |
337 |
250 |
$2K |
| A7046 |
Repl water chamber, pap dev |
650 |
444 |
$2K |
| E0570 |
Nebulizer with compression |
660 |
602 |
$2K |
| A7032 |
Replacement nasal cushion |
100 |
67 |
$580.06 |
| A7039 |
Filter, non disposable w pap |
309 |
271 |
$327.06 |
| A7033 |
Replacement nasal pillows |
27 |
25 |
$142.99 |