| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,571 |
8,921 |
$704K |
| E0601 |
Cont airway pressure device |
5,160 |
4,350 |
$134K |
| A7030 |
Cpap full face mask |
1,816 |
1,336 |
$103K |
| E0466 |
Home vent non-invasive inter |
176 |
146 |
$77K |
| E0431 |
Portable gaseous 02 |
3,646 |
2,933 |
$69K |
| K0738 |
Portable gas oxygen system |
3,546 |
2,838 |
$53K |
| A7031 |
Replacement facemask interfa |
1,323 |
922 |
$31K |
| E1392 |
Portable oxygen concentrator |
913 |
724 |
$28K |
| A7035 |
Pos airway press headgear |
1,911 |
1,420 |
$23K |
| A7038 |
Pos airway pressure filter |
3,483 |
2,617 |
$19K |
| A4604 |
Tubing with heating element |
598 |
485 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,680 |
1,225 |
$14K |
| A7034 |
Nasal application device |
303 |
242 |
$12K |
| E0570 |
Nebulizer with compression |
833 |
655 |
$11K |
| E0562 |
Humidifier heated used w pap |
316 |
250 |
$10K |
| A7046 |
Repl water chamber, pap dev |
809 |
626 |
$5K |
| A7032 |
Replacement nasal cushion |
63 |
52 |
$2K |