| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,251 |
2,643 |
$195K |
| E0601 |
Cont airway pressure device |
2,198 |
1,864 |
$68K |
| E0431 |
Portable gaseous 02 |
1,380 |
1,207 |
$11K |
| E0562 |
Humidifier heated used w pap |
1,225 |
1,075 |
$7K |
| E1392 |
Portable oxygen concentrator |
1,167 |
934 |
$5K |
| E0570 |
Nebulizer with compression |
677 |
585 |
$2K |
| A7038 |
Pos airway pressure filter |
1,534 |
1,219 |
$986.10 |
| A7037 |
Pos airway pressure tubing |
505 |
393 |
$909.57 |
| A7031 |
Replacement facemask interfa |
744 |
597 |
$898.58 |
| A7030 |
Cpap full face mask |
460 |
358 |
$476.11 |
| A7032 |
Replacement nasal cushion |
196 |
149 |
$354.11 |
| A7034 |
Nasal application device |
213 |
168 |
$206.53 |
| A4604 |
Tubing with heating element |
266 |
211 |
$174.52 |
| A7035 |
Pos airway press headgear |
432 |
335 |
$164.07 |
| A7046 |
Repl water chamber, pap dev |
132 |
99 |
$22.44 |
| A7039 |
Filter, non disposable w pap |
93 |
70 |
$5.02 |
| A7033 |
Replacement nasal pillows |
15 |
12 |
$4.81 |