| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,785 |
1,347 |
$108K |
| E0601 |
Cont airway pressure device |
517 |
409 |
$49K |
| E0570 |
Nebulizer with compression |
667 |
504 |
$29K |
| E0431 |
Portable gaseous 02 |
1,330 |
1,020 |
$13K |
| A4604 |
Tubing with heating element |
253 |
211 |
$8K |
| A7035 |
Pos airway press headgear |
242 |
199 |
$4K |
| A7038 |
Pos airway pressure filter |
715 |
575 |
$3K |
| E0562 |
Humidifier heated used w pap |
73 |
68 |
$3K |
| A4927 |
Non-sterile gloves |
207 |
183 |
$3K |
| A7005 |
Nondisposable nebulizer set |
92 |
88 |
$2K |
| A7031 |
Replacement facemask interfa |
56 |
46 |
$2K |
| T4541 |
Large disposable underpad |
80 |
74 |
$1K |
| A7030 |
Cpap full face mask |
15 |
12 |
$1K |
| T4535 |
Disposable liner/shield/pad |
13 |
12 |
$949.06 |
| A7003 |
Nebulizer administration set |
115 |
103 |
$177.98 |
| A7039 |
Filter, non disposable w pap |
14 |
12 |
$121.76 |
| A7015 |
Aerosol mask used w nebulize |
62 |
60 |
$87.60 |
| A9270 |
Non-covered item or service |
493 |
233 |
$0.00 |