| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,730 |
7,142 |
$678K |
| E0601 |
Cont airway pressure device |
4,892 |
4,648 |
$249K |
| A7030 |
Cpap full face mask |
1,596 |
1,513 |
$118K |
| E0562 |
Humidifier heated used w pap |
5,234 |
4,910 |
$104K |
| E0431 |
Portable gaseous 02 |
4,400 |
4,039 |
$71K |
| A4604 |
Tubing with heating element |
2,249 |
2,136 |
$61K |
| A7031 |
Replacement facemask interfa |
1,146 |
1,092 |
$39K |
| A7034 |
Nasal application device |
781 |
746 |
$37K |
| A7032 |
Replacement nasal cushion |
698 |
668 |
$35K |
| A7035 |
Pos airway press headgear |
1,836 |
1,747 |
$34K |
| A7038 |
Pos airway pressure filter |
5,351 |
5,043 |
$31K |
| E0466 |
Home vent non-invasive inter |
77 |
75 |
$30K |
| A7046 |
Repl water chamber, pap dev |
1,758 |
1,658 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
113 |
105 |
$14K |
| E1392 |
Portable oxygen concentrator |
643 |
625 |
$7K |
| A7033 |
Replacement nasal pillows |
57 |
53 |
$2K |
| E0570 |
Nebulizer with compression |
130 |
127 |
$1K |
| A7003 |
Nebulizer administration set |
28 |
28 |
$14.20 |