| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,639 |
8,178 |
$693K |
| E0601 |
Cont airway pressure device |
2,491 |
2,406 |
$103K |
| E0431 |
Portable gaseous 02 |
3,644 |
3,462 |
$54K |
| A7030 |
Cpap full face mask |
729 |
706 |
$48K |
| E0562 |
Humidifier heated used w pap |
2,265 |
2,123 |
$38K |
| A7031 |
Replacement facemask interfa |
636 |
617 |
$21K |
| A7037 |
Pos airway pressure tubing |
1,359 |
1,336 |
$17K |
| A7038 |
Pos airway pressure filter |
3,152 |
3,027 |
$16K |
| A7035 |
Pos airway press headgear |
872 |
850 |
$12K |
| A7046 |
Repl water chamber, pap dev |
690 |
659 |
$5K |
| A7034 |
Nasal application device |
175 |
174 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
40 |
40 |
$4K |
| E0570 |
Nebulizer with compression |
334 |
330 |
$3K |
| A7032 |
Replacement nasal cushion |
36 |
36 |
$1K |
| A4604 |
Tubing with heating element |
13 |
13 |
$225.65 |
| A7003 |
Nebulizer administration set |
89 |
85 |
$173.37 |