| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,282 |
5,765 |
$172K |
| E0431 |
Portable gaseous 02 |
3,806 |
3,399 |
$24K |
| A7038 |
Pos airway pressure filter |
1,820 |
1,716 |
$16K |
| E0601 |
Cont airway pressure device |
598 |
574 |
$15K |
| A7030 |
Cpap full face mask |
451 |
436 |
$14K |
| A7031 |
Replacement facemask interfa |
667 |
634 |
$11K |
| E0562 |
Humidifier heated used w pap |
869 |
830 |
$8K |
| A7037 |
Pos airway pressure tubing |
977 |
914 |
$6K |
| E1392 |
Portable oxygen concentrator |
378 |
363 |
$3K |
| A7035 |
Pos airway press headgear |
284 |
268 |
$3K |
| E0570 |
Nebulizer with compression |
1,066 |
1,027 |
$2K |
| A7046 |
Repl water chamber, pap dev |
112 |
100 |
$2K |
| A7034 |
Nasal application device |
42 |
42 |
$805.58 |
| A7003 |
Nebulizer administration set |
309 |
287 |
$139.56 |
| Q0513 |
Disp fee inhal drugs/30 days |
135 |
125 |
$0.00 |