| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,356 |
17,944 |
$744K |
| E0431 |
Portable gaseous 02 |
10,384 |
9,639 |
$305K |
| E0601 |
Cont airway pressure device |
2,361 |
2,124 |
$50K |
| A7030 |
Cpap full face mask |
778 |
659 |
$25K |
| A7031 |
Replacement facemask interfa |
1,111 |
935 |
$22K |
| A7038 |
Pos airway pressure filter |
4,245 |
3,747 |
$14K |
| A7037 |
Pos airway pressure tubing |
2,115 |
1,827 |
$12K |
| E0562 |
Humidifier heated used w pap |
852 |
745 |
$11K |
| A7035 |
Pos airway press headgear |
706 |
597 |
$5K |
| E0570 |
Nebulizer with compression |
437 |
369 |
$3K |
| A7046 |
Repl water chamber, pap dev |
367 |
313 |
$1K |
| A7034 |
Nasal application device |
40 |
38 |
$873.58 |
| E0470 |
Rad w/o backup non-inv intfc |
17 |
12 |
$543.60 |
| A4452 |
Waterproof tape |
131 |
113 |
$302.78 |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$219.39 |
| A6446 |
Conform band s w>=3" <5"/yd |
33 |
25 |
$175.30 |
| A7003 |
Nebulizer administration set |
53 |
41 |
$68.94 |
| A6402 |
Sterile gauze <= 16 sq in |
15 |
14 |
$26.42 |
| A7039 |
Filter, non disposable w pap |
15 |
12 |
$21.21 |