| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,350 |
7,150 |
$350K |
| E0601 |
Cont airway pressure device |
7,576 |
6,665 |
$261K |
| A7032 |
Replacement nasal cushion |
3,921 |
3,432 |
$151K |
| A7031 |
Replacement facemask interfa |
5,534 |
4,809 |
$147K |
| A7034 |
Nasal application device |
3,849 |
3,444 |
$144K |
| A7030 |
Cpap full face mask |
3,128 |
2,811 |
$139K |
| A7037 |
Pos airway pressure tubing |
6,870 |
6,186 |
$76K |
| A7033 |
Replacement nasal pillows |
2,378 |
2,071 |
$63K |
| E0562 |
Humidifier heated used w pap |
5,033 |
4,611 |
$57K |
| A7035 |
Pos airway press headgear |
4,590 |
4,190 |
$54K |
| A7038 |
Pos airway pressure filter |
13,571 |
11,552 |
$49K |
| E0431 |
Portable gaseous 02 |
5,618 |
4,890 |
$48K |
| A7046 |
Repl water chamber, pap dev |
3,498 |
3,176 |
$26K |
| A4604 |
Tubing with heating element |
805 |
749 |
$26K |
| E0570 |
Nebulizer with compression |
1,787 |
1,487 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
263 |
209 |
$6K |
| A7039 |
Filter, non disposable w pap |
931 |
822 |
$3K |
| E1392 |
Portable oxygen concentrator |
26 |
25 |
$110.32 |
| B4160 |
Ef ped caloric dense>/=0.7kc |
13 |
13 |
$0.00 |