| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,916 |
12,796 |
$304K |
| E0601 |
Cont airway pressure device |
4,131 |
3,511 |
$70K |
| E0483 |
Hi freq chest wall oscil sys |
423 |
355 |
$60K |
| A7030 |
Cpap full face mask |
1,909 |
1,492 |
$58K |
| E0570 |
Nebulizer with compression |
4,417 |
4,135 |
$41K |
| E0431 |
Portable gaseous 02 |
7,854 |
7,123 |
$36K |
| E0562 |
Humidifier heated used w pap |
2,109 |
1,732 |
$26K |
| A7031 |
Replacement facemask interfa |
1,446 |
1,180 |
$20K |
| E1392 |
Portable oxygen concentrator |
1,648 |
1,538 |
$16K |
| A4604 |
Tubing with heating element |
935 |
807 |
$15K |
| A7034 |
Nasal application device |
490 |
416 |
$13K |
| A7035 |
Pos airway press headgear |
1,690 |
1,311 |
$11K |
| A7037 |
Pos airway pressure tubing |
1,581 |
1,194 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
209 |
180 |
$6K |
| A7038 |
Pos airway pressure filter |
2,829 |
2,210 |
$5K |
| A7005 |
Nondisposable nebulizer set |
642 |
618 |
$4K |
| K0823 |
Pwc gp 2 std cap chair |
14 |
12 |
$3K |
| A7046 |
Repl water chamber, pap dev |
585 |
510 |
$3K |