| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,318 |
14,435 |
$801K |
| E0466 |
Home vent non-invasive inter |
1,204 |
921 |
$405K |
| A7030 |
Cpap full face mask |
2,989 |
2,479 |
$205K |
| A7031 |
Replacement facemask interfa |
5,320 |
4,632 |
$189K |
| E0601 |
Cont airway pressure device |
3,776 |
3,018 |
$125K |
| E0431 |
Portable gaseous 02 |
10,308 |
8,277 |
$115K |
| E0562 |
Humidifier heated used w pap |
3,412 |
3,006 |
$62K |
| E0470 |
Rad w/o backup non-inv intfc |
705 |
534 |
$53K |
| A7037 |
Pos airway pressure tubing |
2,881 |
2,447 |
$41K |
| A7035 |
Pos airway press headgear |
2,367 |
1,973 |
$35K |
| A7038 |
Pos airway pressure filter |
7,987 |
6,886 |
$32K |
| A7034 |
Nasal application device |
712 |
592 |
$32K |
| A4604 |
Tubing with heating element |
915 |
741 |
$22K |
| A7032 |
Replacement nasal cushion |
541 |
466 |
$20K |
| A7033 |
Replacement nasal pillows |
622 |
550 |
$19K |
| A7046 |
Repl water chamber, pap dev |
2,011 |
1,636 |
$17K |
| E0570 |
Nebulizer with compression |
1,492 |
1,027 |
$11K |
| E1392 |
Portable oxygen concentrator |
762 |
570 |
$7K |
| E0445 |
Oximeter non-invasive |
17 |
12 |
$2K |
| A7003 |
Nebulizer administration set |
997 |
811 |
$640.12 |
| A7039 |
Filter, non disposable w pap |
111 |
93 |
$484.63 |