| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,875 |
6,370 |
$383K |
| E0601 |
Cont airway pressure device |
4,096 |
3,755 |
$194K |
| A7030 |
Cpap full face mask |
1,739 |
1,605 |
$164K |
| A7031 |
Replacement facemask interfa |
1,839 |
1,683 |
$103K |
| A7034 |
Nasal application device |
1,578 |
1,460 |
$98K |
| A7032 |
Replacement nasal cushion |
1,070 |
986 |
$81K |
| A7037 |
Pos airway pressure tubing |
2,889 |
2,670 |
$55K |
| E0431 |
Portable gaseous 02 |
5,245 |
4,846 |
$53K |
| A7035 |
Pos airway press headgear |
2,025 |
1,868 |
$41K |
| E0562 |
Humidifier heated used w pap |
1,465 |
1,330 |
$35K |
| A7038 |
Pos airway pressure filter |
4,286 |
3,885 |
$29K |
| E0470 |
Rad w/o backup non-inv intfc |
206 |
186 |
$21K |
| A7039 |
Filter, non disposable w pap |
1,586 |
1,481 |
$10K |
| A7046 |
Repl water chamber, pap dev |
888 |
831 |
$9K |
| E0600 |
Suction pump portab hom modl |
259 |
226 |
$7K |
| A7033 |
Replacement nasal pillows |
79 |
75 |
$5K |
| A4604 |
Tubing with heating element |
137 |
129 |
$4K |
| E0570 |
Nebulizer with compression |
511 |
480 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
66 |
62 |
$2K |
| A9279 |
Monitoring feature/devicenoc |
44 |
38 |
$135.22 |