| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,696 |
6,560 |
$290K |
| E0431 |
Portable gaseous 02 |
5,931 |
5,839 |
$53K |
| A7031 |
Replacement facemask interfa |
1,423 |
1,350 |
$40K |
| A7030 |
Cpap full face mask |
1,051 |
1,024 |
$35K |
| E0601 |
Cont airway pressure device |
833 |
824 |
$9K |
| A7038 |
Pos airway pressure filter |
2,342 |
2,240 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,190 |
1,158 |
$8K |
| A7035 |
Pos airway press headgear |
841 |
820 |
$5K |
| A7034 |
Nasal application device |
194 |
192 |
$3K |
| A7032 |
Replacement nasal cushion |
52 |
52 |
$1K |
| E0562 |
Humidifier heated used w pap |
65 |
65 |
$898.33 |
| A4604 |
Tubing with heating element |
195 |
194 |
$509.86 |
| A7046 |
Repl water chamber, pap dev |
641 |
627 |
$430.14 |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$205.55 |
| A7039 |
Filter, non disposable w pap |
103 |
102 |
$152.26 |
| E0570 |
Nebulizer with compression |
170 |
170 |
$68.06 |