| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,245 |
13,768 |
$1.09M |
| E0431 |
Portable gaseous 02 |
7,637 |
7,374 |
$108K |
| E1392 |
Portable oxygen concentrator |
1,324 |
1,277 |
$63K |
| A7030 |
Cpap full face mask |
1,012 |
1,007 |
$47K |
| A7031 |
Replacement facemask interfa |
1,487 |
1,480 |
$43K |
| A7034 |
Nasal application device |
584 |
583 |
$25K |
| B4035 |
Enteral feed supp pump per d |
223 |
215 |
$17K |
| A7032 |
Replacement nasal cushion |
526 |
524 |
$17K |
| E0601 |
Cont airway pressure device |
537 |
527 |
$17K |
| A7035 |
Pos airway press headgear |
1,296 |
1,291 |
$16K |
| A7038 |
Pos airway pressure filter |
3,895 |
3,847 |
$15K |
| E0570 |
Nebulizer with compression |
3,067 |
3,004 |
$14K |
| A7037 |
Pos airway pressure tubing |
1,139 |
1,134 |
$13K |
| E0562 |
Humidifier heated used w pap |
645 |
629 |
$6K |
| A4604 |
Tubing with heating element |
311 |
310 |
$4K |
| B4150 |
Ef complet w/intact nutrient |
41 |
36 |
$3K |
| E0445 |
Oximeter non-invasive |
13 |
12 |
$2K |
| A7046 |
Repl water chamber, pap dev |
315 |
315 |
$1K |
| A7003 |
Nebulizer administration set |
831 |
793 |
$1K |