| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,983 |
16,458 |
$1.01M |
| E0601 |
Cont airway pressure device |
4,193 |
3,919 |
$232K |
| A7030 |
Cpap full face mask |
1,996 |
1,823 |
$161K |
| A7031 |
Replacement facemask interfa |
3,725 |
3,472 |
$130K |
| A4604 |
Tubing with heating element |
3,271 |
2,983 |
$93K |
| E1392 |
Portable oxygen concentrator |
6,831 |
5,822 |
$89K |
| A7034 |
Nasal application device |
1,565 |
1,419 |
$76K |
| A7032 |
Replacement nasal cushion |
1,961 |
1,810 |
$75K |
| E0562 |
Humidifier heated used w pap |
4,899 |
4,580 |
$73K |
| E0431 |
Portable gaseous 02 |
6,974 |
6,115 |
$67K |
| A7035 |
Pos airway press headgear |
2,272 |
2,044 |
$38K |
| A7038 |
Pos airway pressure filter |
7,028 |
6,513 |
$37K |
| E0570 |
Nebulizer with compression |
2,559 |
2,280 |
$19K |
| A7033 |
Replacement nasal pillows |
513 |
482 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,554 |
1,409 |
$12K |
| E0466 |
Home vent non-invasive inter |
52 |
49 |
$11K |
| A7037 |
Pos airway pressure tubing |
175 |
161 |
$3K |
| E0471 |
Rad w/backup non inv intrfc |
13 |
13 |
$3K |
| A7003 |
Nebulizer administration set |
229 |
205 |
$317.08 |
| E0443 |
Portable 02 contents, gas |
44 |
37 |
$168.87 |
| J7620 |
Albuterol ipratrop non-comp |
21 |
12 |
$139.36 |