| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,377 |
23,254 |
$1.49M |
| E0441 |
Stationary o2 contents, gas |
5,876 |
5,649 |
$265K |
| K0738 |
Portable gas oxygen system |
7,656 |
7,183 |
$218K |
| A7030 |
Cpap full face mask |
2,202 |
2,059 |
$217K |
| E0601 |
Cont airway pressure device |
3,310 |
3,106 |
$216K |
| E0562 |
Humidifier heated used w pap |
960 |
912 |
$172K |
| A7031 |
Replacement facemask interfa |
2,349 |
2,171 |
$101K |
| E0424 |
Stationary compressed gas 02 |
1,116 |
1,089 |
$79K |
| E0470 |
Rad w/o backup non-inv intfc |
477 |
459 |
$72K |
| A7037 |
Pos airway pressure tubing |
2,502 |
2,441 |
$69K |
| E0431 |
Portable gaseous 02 |
4,011 |
3,900 |
$57K |
| A7034 |
Nasal application device |
863 |
817 |
$43K |
| A7035 |
Pos airway press headgear |
1,787 |
1,678 |
$38K |
| E0570 |
Nebulizer with compression |
1,233 |
1,189 |
$24K |
| A4604 |
Tubing with heating element |
1,120 |
995 |
$23K |
| A7038 |
Pos airway pressure filter |
3,460 |
3,212 |
$22K |
| A7046 |
Repl water chamber, pap dev |
1,176 |
1,105 |
$14K |
| E1392 |
Portable oxygen concentrator |
987 |
854 |
$12K |
| A7032 |
Replacement nasal cushion |
438 |
409 |
$10K |
| A7005 |
Nondisposable nebulizer set |
251 |
236 |
$4K |
| A7033 |
Replacement nasal pillows |
142 |
132 |
$3K |
| A7003 |
Nebulizer administration set |
38 |
32 |
$68.40 |