| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,399 |
14,808 |
$551K |
| A7030 |
Cpap full face mask |
2,266 |
2,146 |
$158K |
| E0466 |
Home vent non-invasive inter |
457 |
420 |
$139K |
| A7031 |
Replacement facemask interfa |
2,668 |
2,524 |
$88K |
| A7032 |
Replacement nasal cushion |
1,657 |
1,615 |
$73K |
| A7034 |
Nasal application device |
1,484 |
1,438 |
$68K |
| A4604 |
Tubing with heating element |
2,499 |
2,365 |
$67K |
| E0601 |
Cont airway pressure device |
1,724 |
1,664 |
$61K |
| E0431 |
Portable gaseous 02 |
6,502 |
6,225 |
$60K |
| E0570 |
Nebulizer with compression |
2,391 |
2,297 |
$42K |
| A7037 |
Pos airway pressure tubing |
2,064 |
2,020 |
$39K |
| A7038 |
Pos airway pressure filter |
6,420 |
6,176 |
$31K |
| A7035 |
Pos airway press headgear |
2,191 |
2,091 |
$28K |
| E0562 |
Humidifier heated used w pap |
1,748 |
1,678 |
$22K |
| A7033 |
Replacement nasal pillows |
559 |
544 |
$17K |
| A7046 |
Repl water chamber, pap dev |
1,698 |
1,622 |
$13K |
| E1392 |
Portable oxygen concentrator |
720 |
695 |
$7K |
| A7003 |
Nebulizer administration set |
2,790 |
2,453 |
$4K |
| A7005 |
Nondisposable nebulizer set |
87 |
84 |
$743.61 |
| A7015 |
Aerosol mask used w nebulize |
669 |
558 |
$496.08 |
| A7039 |
Filter, non disposable w pap |
29 |
27 |
$148.85 |