| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,935 |
6,179 |
$288K |
| E0601 |
Cont airway pressure device |
5,510 |
5,103 |
$214K |
| E0562 |
Humidifier heated used w pap |
1,328 |
1,169 |
$93K |
| A7030 |
Cpap full face mask |
1,411 |
1,210 |
$59K |
| E0431 |
Portable gaseous 02 |
4,038 |
3,540 |
$58K |
| A4604 |
Tubing with heating element |
2,425 |
2,135 |
$47K |
| E0470 |
Rad w/o backup non-inv intfc |
342 |
301 |
$35K |
| A7035 |
Pos airway press headgear |
2,109 |
1,869 |
$31K |
| A7034 |
Nasal application device |
1,162 |
1,014 |
$28K |
| A7031 |
Replacement facemask interfa |
1,403 |
1,157 |
$28K |
| A7033 |
Replacement nasal pillows |
650 |
561 |
$9K |
| E1392 |
Portable oxygen concentrator |
627 |
594 |
$8K |
| A7038 |
Pos airway pressure filter |
3,968 |
3,438 |
$7K |
| E0570 |
Nebulizer with compression |
432 |
374 |
$7K |
| A7032 |
Replacement nasal cushion |
354 |
312 |
$5K |
| A7046 |
Repl water chamber, pap dev |
441 |
372 |
$757.02 |