| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,484 |
10,651 |
$218K |
| E0601 |
Cont airway pressure device |
2,819 |
2,502 |
$66K |
| A7030 |
Cpap full face mask |
1,522 |
1,168 |
$57K |
| E0466 |
Home vent non-invasive inter |
340 |
267 |
$27K |
| E1392 |
Portable oxygen concentrator |
4,558 |
3,900 |
$27K |
| A7031 |
Replacement facemask interfa |
1,447 |
1,131 |
$24K |
| K0738 |
Portable gas oxygen system |
1,774 |
1,503 |
$22K |
| A4604 |
Tubing with heating element |
850 |
670 |
$17K |
| E0562 |
Humidifier heated used w pap |
469 |
398 |
$16K |
| A7035 |
Pos airway press headgear |
1,602 |
1,207 |
$13K |
| E0431 |
Portable gaseous 02 |
2,057 |
1,804 |
$12K |
| A7034 |
Nasal application device |
313 |
249 |
$8K |
| A7038 |
Pos airway pressure filter |
3,486 |
2,562 |
$7K |
| A7037 |
Pos airway pressure tubing |
1,172 |
855 |
$6K |
| A7046 |
Repl water chamber, pap dev |
674 |
545 |
$3K |
| E0570 |
Nebulizer with compression |
307 |
272 |
$2K |
| A7032 |
Replacement nasal cushion |
27 |
24 |
$699.09 |