| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,895 |
5,489 |
$361K |
| A7030 |
Cpap full face mask |
691 |
610 |
$59K |
| K0738 |
Portable gas oxygen system |
1,610 |
1,512 |
$49K |
| E0441 |
Stationary o2 contents, gas |
951 |
943 |
$46K |
| E0601 |
Cont airway pressure device |
914 |
770 |
$28K |
| A7031 |
Replacement facemask interfa |
623 |
544 |
$23K |
| E0424 |
Stationary compressed gas 02 |
319 |
299 |
$21K |
| E0562 |
Humidifier heated used w pap |
109 |
98 |
$17K |
| E0431 |
Portable gaseous 02 |
1,092 |
1,013 |
$15K |
| A7034 |
Nasal application device |
274 |
246 |
$14K |
| E1392 |
Portable oxygen concentrator |
742 |
573 |
$13K |
| A7037 |
Pos airway pressure tubing |
497 |
472 |
$12K |
| A7035 |
Pos airway press headgear |
529 |
465 |
$10K |
| A4604 |
Tubing with heating element |
447 |
368 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
106 |
96 |
$9K |
| A9999 |
Dme supply or accessory, nos |
455 |
335 |
$9K |
| A7046 |
Repl water chamber, pap dev |
635 |
576 |
$6K |
| A7038 |
Pos airway pressure filter |
1,011 |
882 |
$5K |
| A7520 |
Trach/laryn tube non-cuffed |
45 |
39 |
$4K |
| E0471 |
Rad w/backup non inv intrfc |
27 |
25 |
$4K |
| A7032 |
Replacement nasal cushion |
178 |
159 |
$3K |
| A7033 |
Replacement nasal pillows |
58 |
52 |
$968.85 |
| E0570 |
Nebulizer with compression |
33 |
31 |
$816.40 |
| K0001 |
Standard wheelchair |
31 |
27 |
$291.37 |