| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,628 |
18,449 |
$506K |
| E0431 |
Portable gaseous 02 |
7,503 |
6,413 |
$37K |
| A7031 |
Replacement facemask interfa |
1,959 |
1,714 |
$31K |
| A7030 |
Cpap full face mask |
582 |
520 |
$16K |
| A7038 |
Pos airway pressure filter |
3,382 |
2,969 |
$7K |
| E0601 |
Cont airway pressure device |
487 |
441 |
$5K |
| E0570 |
Nebulizer with compression |
1,884 |
1,734 |
$5K |
| A7037 |
Pos airway pressure tubing |
1,143 |
1,019 |
$5K |
| A7035 |
Pos airway press headgear |
754 |
667 |
$4K |
| A7034 |
Nasal application device |
325 |
295 |
$4K |
| A7032 |
Replacement nasal cushion |
285 |
274 |
$4K |
| E1392 |
Portable oxygen concentrator |
601 |
527 |
$4K |
| E0562 |
Humidifier heated used w pap |
552 |
522 |
$2K |
| A7046 |
Repl water chamber, pap dev |
514 |
460 |
$2K |
| A7003 |
Nebulizer administration set |
1,684 |
1,470 |
$777.82 |
| A4604 |
Tubing with heating element |
30 |
24 |
$335.92 |
| A7033 |
Replacement nasal pillows |
14 |
12 |
$136.67 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$42.39 |
| E0443 |
Portable 02 contents, gas |
33 |
25 |
$38.84 |