| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,071 |
4,057 |
$287K |
| E0601 |
Cont airway pressure device |
4,778 |
4,764 |
$206K |
| E0562 |
Humidifier heated used w pap |
3,607 |
3,596 |
$42K |
| A7030 |
Cpap full face mask |
646 |
631 |
$31K |
| E0431 |
Portable gaseous 02 |
1,561 |
1,554 |
$19K |
| A7031 |
Replacement facemask interfa |
852 |
832 |
$19K |
| A7035 |
Pos airway press headgear |
1,283 |
1,268 |
$17K |
| A7038 |
Pos airway pressure filter |
2,550 |
2,512 |
$10K |
| E0470 |
Rad w/o backup non-inv intfc |
77 |
77 |
$8K |
| A7037 |
Pos airway pressure tubing |
394 |
391 |
$7K |
| A7034 |
Nasal application device |
220 |
215 |
$7K |
| A7046 |
Repl water chamber, pap dev |
909 |
899 |
$4K |
| A4604 |
Tubing with heating element |
501 |
498 |
$3K |
| E0730 |
Tens four lead |
12 |
12 |
$3K |
| E0570 |
Nebulizer with compression |
74 |
74 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
27 |
27 |
$1K |