| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
3,983 |
3,492 |
$204K |
| E0601 |
Cont airway pressure device |
3,459 |
3,020 |
$78K |
| A7031 |
Replacement facemask interfa |
1,769 |
1,595 |
$36K |
| E1390 |
Oxygen concentrator |
1,037 |
947 |
$33K |
| A7005 |
Nondisposable nebulizer set |
3,070 |
2,738 |
$32K |
| E0562 |
Humidifier heated used w pap |
3,758 |
3,367 |
$30K |
| A7035 |
Pos airway press headgear |
1,121 |
995 |
$12K |
| A7032 |
Replacement nasal cushion |
688 |
623 |
$11K |
| A7038 |
Pos airway pressure filter |
4,300 |
3,893 |
$11K |
| A4604 |
Tubing with heating element |
472 |
405 |
$9K |
| A7030 |
Cpap full face mask |
174 |
163 |
$9K |
| A7037 |
Pos airway pressure tubing |
914 |
817 |
$8K |
| A7033 |
Replacement nasal pillows |
215 |
202 |
$3K |
| E0431 |
Portable gaseous 02 |
522 |
465 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
3,056 |
2,724 |
$3K |
| A7034 |
Nasal application device |
77 |
65 |
$2K |
| A7013 |
Disposable compressor filter |
2,934 |
2,607 |
$1K |
| A7046 |
Repl water chamber, pap dev |
167 |
155 |
$963.95 |
| A7039 |
Filter, non disposable w pap |
41 |
41 |
$151.77 |
| A7003 |
Nebulizer administration set |
2,929 |
2,604 |
$56.51 |