| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,506 |
4,571 |
$177K |
| E0601 |
Cont airway pressure device |
6,479 |
4,738 |
$149K |
| A7030 |
Cpap full face mask |
2,720 |
1,849 |
$130K |
| A7031 |
Replacement facemask interfa |
4,886 |
2,510 |
$94K |
| A7034 |
Nasal application device |
2,917 |
1,967 |
$83K |
| A7032 |
Replacement nasal cushion |
3,102 |
1,710 |
$72K |
| E1392 |
Portable oxygen concentrator |
4,869 |
3,528 |
$48K |
| E0562 |
Humidifier heated used w pap |
1,209 |
896 |
$48K |
| A7038 |
Pos airway pressure filter |
9,913 |
5,508 |
$33K |
| A7037 |
Pos airway pressure tubing |
2,834 |
1,886 |
$30K |
| A7035 |
Pos airway press headgear |
2,942 |
1,957 |
$30K |
| A7033 |
Replacement nasal pillows |
1,642 |
916 |
$27K |
| E0570 |
Nebulizer with compression |
3,490 |
2,818 |
$25K |
| A7046 |
Repl water chamber, pap dev |
2,275 |
1,527 |
$14K |
| A4604 |
Tubing with heating element |
1,656 |
1,225 |
$8K |
| E0431 |
Portable gaseous 02 |
1,025 |
709 |
$5K |
| A7039 |
Filter, non disposable w pap |
971 |
610 |
$3K |
| A7005 |
Nondisposable nebulizer set |
131 |
131 |
$822.38 |
| A7036 |
Pos airway press chinstrap |
16 |
12 |
$84.07 |
| A7013 |
Disposable compressor filter |
147 |
131 |
$38.76 |
| A7015 |
Aerosol mask used w nebulize |
47 |
47 |
$32.26 |