| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,561 |
7,721 |
$507K |
| E0601 |
Cont airway pressure device |
4,575 |
3,909 |
$219K |
| A7030 |
Cpap full face mask |
3,210 |
2,700 |
$217K |
| E0562 |
Humidifier heated used w pap |
906 |
779 |
$130K |
| A7034 |
Nasal application device |
2,976 |
2,522 |
$129K |
| K0738 |
Portable gas oxygen system |
4,742 |
4,263 |
$125K |
| A7031 |
Replacement facemask interfa |
3,746 |
3,105 |
$105K |
| A4604 |
Tubing with heating element |
3,678 |
3,002 |
$87K |
| E0441 |
Stationary o2 contents, gas |
1,556 |
1,319 |
$66K |
| A7035 |
Pos airway press headgear |
3,739 |
3,170 |
$60K |
| A7032 |
Replacement nasal cushion |
2,346 |
1,926 |
$44K |
| A7038 |
Pos airway pressure filter |
7,958 |
6,484 |
$31K |
| E0471 |
Rad w/backup non inv intrfc |
69 |
61 |
$30K |
| A7046 |
Repl water chamber, pap dev |
2,737 |
2,265 |
$24K |
| A7037 |
Pos airway pressure tubing |
1,472 |
1,208 |
$21K |
| E1392 |
Portable oxygen concentrator |
450 |
416 |
$11K |
| A7033 |
Replacement nasal pillows |
708 |
571 |
$10K |
| E0431 |
Portable gaseous 02 |
608 |
539 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
25 |
25 |
$2K |
| E0570 |
Nebulizer with compression |
17 |
16 |
$551.26 |
| A7039 |
Filter, non disposable w pap |
35 |
27 |
$190.65 |