| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,972 |
11,376 |
$611K |
| A7030 |
Cpap full face mask |
3,895 |
2,982 |
$202K |
| E0601 |
Cont airway pressure device |
7,093 |
5,117 |
$183K |
| A7031 |
Replacement facemask interfa |
4,729 |
3,760 |
$151K |
| E0431 |
Portable gaseous 02 |
11,876 |
8,903 |
$112K |
| A7034 |
Nasal application device |
3,297 |
2,515 |
$99K |
| E0562 |
Humidifier heated used w pap |
7,519 |
5,753 |
$92K |
| A7032 |
Replacement nasal cushion |
2,020 |
1,595 |
$65K |
| A4604 |
Tubing with heating element |
2,935 |
2,211 |
$47K |
| A7035 |
Pos airway press headgear |
4,327 |
3,367 |
$47K |
| A7038 |
Pos airway pressure filter |
10,416 |
8,444 |
$45K |
| A7037 |
Pos airway pressure tubing |
4,155 |
3,259 |
$44K |
| A7033 |
Replacement nasal pillows |
1,562 |
1,190 |
$33K |
| E0570 |
Nebulizer with compression |
4,015 |
2,965 |
$31K |
| A7046 |
Repl water chamber, pap dev |
3,128 |
2,440 |
$15K |
| K0001 |
Standard wheelchair |
1,616 |
1,176 |
$14K |
| E0470 |
Rad w/o backup non-inv intfc |
154 |
97 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
246 |
180 |
$7K |
| E1392 |
Portable oxygen concentrator |
1,293 |
963 |
$5K |
| A7005 |
Nondisposable nebulizer set |
30 |
28 |
$546.61 |
| A7003 |
Nebulizer administration set |
14 |
12 |
$27.96 |