| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,805 |
1,741 |
$135K |
| E0601 |
Cont airway pressure device |
1,593 |
1,543 |
$97K |
| A7032 |
Replacement nasal cushion |
1,250 |
1,145 |
$43K |
| A4604 |
Tubing with heating element |
1,224 |
1,146 |
$33K |
| A7031 |
Replacement facemask interfa |
811 |
783 |
$31K |
| A7034 |
Nasal application device |
570 |
522 |
$22K |
| E0570 |
Nebulizer with compression |
1,614 |
1,564 |
$16K |
| E0431 |
Portable gaseous 02 |
1,164 |
1,105 |
$15K |
| T4526 |
Adult size pull-on med |
210 |
210 |
$14K |
| A7030 |
Cpap full face mask |
170 |
165 |
$14K |
| A7035 |
Pos airway press headgear |
897 |
849 |
$14K |
| A7038 |
Pos airway pressure filter |
2,744 |
2,564 |
$14K |
| A4927 |
Non-sterile gloves |
505 |
427 |
$10K |
| E0562 |
Humidifier heated used w pap |
27 |
26 |
$5K |
| A7039 |
Filter, non disposable w pap |
347 |
327 |
$2K |
| T4541 |
Large disposable underpad |
25 |
24 |
$449.09 |