| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,397 |
7,283 |
$348K |
| E0601 |
Cont airway pressure device |
2,871 |
2,170 |
$81K |
| A7030 |
Cpap full face mask |
943 |
879 |
$49K |
| A7031 |
Replacement facemask interfa |
1,142 |
1,045 |
$29K |
| E0431 |
Portable gaseous 02 |
2,716 |
2,464 |
$19K |
| A7037 |
Pos airway pressure tubing |
674 |
659 |
$10K |
| A7038 |
Pos airway pressure filter |
1,817 |
1,646 |
$9K |
| E0570 |
Nebulizer with compression |
1,209 |
1,133 |
$8K |
| A7035 |
Pos airway press headgear |
517 |
493 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
37 |
36 |
$4K |
| A7034 |
Nasal application device |
109 |
105 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
92 |
90 |
$4K |
| E1392 |
Portable oxygen concentrator |
1,099 |
886 |
$2K |
| A7032 |
Replacement nasal cushion |
45 |
42 |
$1K |
| A4604 |
Tubing with heating element |
393 |
339 |
$998.71 |
| A7046 |
Repl water chamber, pap dev |
160 |
153 |
$451.45 |
| K0738 |
Portable gas oxygen system |
65 |
65 |
$218.08 |