| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
4,307 |
4,105 |
$304K |
| E1390 |
Oxygen concentrator |
3,454 |
3,275 |
$165K |
| A7030 |
Cpap full face mask |
2,248 |
2,161 |
$163K |
| A4604 |
Tubing with heating element |
4,529 |
4,324 |
$122K |
| A7034 |
Nasal application device |
2,594 |
2,457 |
$119K |
| E0562 |
Humidifier heated used w pap |
869 |
832 |
$115K |
| A7035 |
Pos airway press headgear |
3,665 |
3,543 |
$66K |
| E0470 |
Rad w/o backup non-inv intfc |
463 |
438 |
$61K |
| A7031 |
Replacement facemask interfa |
1,340 |
1,265 |
$32K |
| A7038 |
Pos airway pressure filter |
4,968 |
4,753 |
$27K |
| E1392 |
Portable oxygen concentrator |
1,429 |
1,330 |
$24K |
| K0738 |
Portable gas oxygen system |
1,023 |
985 |
$21K |
| A7046 |
Repl water chamber, pap dev |
2,045 |
1,969 |
$18K |
| A7039 |
Filter, non disposable w pap |
1,599 |
1,549 |
$10K |
| A7032 |
Replacement nasal cushion |
396 |
360 |
$10K |
| A7033 |
Replacement nasal pillows |
204 |
184 |
$3K |
| E0471 |
Rad w/backup non inv intrfc |
13 |
13 |
$3K |
| A7036 |
Pos airway press chinstrap |
101 |
92 |
$819.46 |