| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,137 |
4,671 |
$173K |
| E1390 |
Oxygen concentrator |
1,984 |
1,897 |
$103K |
| A7030 |
Cpap full face mask |
926 |
880 |
$86K |
| E0470 |
Rad w/o backup non-inv intfc |
843 |
777 |
$85K |
| E0562 |
Humidifier heated used w pap |
583 |
558 |
$84K |
| A7034 |
Nasal application device |
679 |
640 |
$40K |
| A7031 |
Replacement facemask interfa |
833 |
730 |
$36K |
| A7037 |
Pos airway pressure tubing |
1,597 |
1,511 |
$27K |
| A7035 |
Pos airway press headgear |
1,342 |
1,249 |
$24K |
| A7038 |
Pos airway pressure filter |
2,826 |
2,436 |
$22K |
| A7032 |
Replacement nasal cushion |
520 |
308 |
$16K |
| E1392 |
Portable oxygen concentrator |
762 |
727 |
$13K |
| E0431 |
Portable gaseous 02 |
690 |
662 |
$10K |
| A7046 |
Repl water chamber, pap dev |
410 |
388 |
$4K |
| A7036 |
Pos airway press chinstrap |
369 |
356 |
$4K |
| A4604 |
Tubing with heating element |
41 |
39 |
$2K |
| A7039 |
Filter, non disposable w pap |
14 |
14 |
$92.27 |