| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,147 |
5,127 |
$315K |
| E0601 |
Cont airway pressure device |
3,058 |
3,046 |
$138K |
| A7030 |
Cpap full face mask |
1,055 |
1,047 |
$64K |
| A7031 |
Replacement facemask interfa |
1,694 |
1,681 |
$56K |
| E0431 |
Portable gaseous 02 |
2,841 |
2,823 |
$41K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
85 |
38 |
$38K |
| B4150 |
Ef complet w/intact nutrient |
104 |
50 |
$36K |
| E0562 |
Humidifier heated used w pap |
2,936 |
2,927 |
$32K |
| A7038 |
Pos airway pressure filter |
2,553 |
2,531 |
$17K |
| A7035 |
Pos airway press headgear |
1,025 |
1,017 |
$14K |
| A4604 |
Tubing with heating element |
651 |
648 |
$13K |
| K0738 |
Portable gas oxygen system |
368 |
366 |
$12K |
| A7037 |
Pos airway pressure tubing |
600 |
596 |
$9K |
| E0570 |
Nebulizer with compression |
362 |
362 |
$9K |
| A7046 |
Repl water chamber, pap dev |
945 |
943 |
$7K |
| A7034 |
Nasal application device |
174 |
174 |
$6K |
| E1392 |
Portable oxygen concentrator |
276 |
276 |
$3K |
| A7033 |
Replacement nasal pillows |
37 |
37 |
$1K |
| A7032 |
Replacement nasal cushion |
25 |
25 |
$774.64 |
| A7003 |
Nebulizer administration set |
41 |
40 |
$65.11 |