| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,500 |
14,286 |
$541K |
| A7030 |
Cpap full face mask |
2,085 |
1,750 |
$81K |
| E0431 |
Portable gaseous 02 |
9,660 |
8,448 |
$80K |
| A7031 |
Replacement facemask interfa |
3,164 |
2,796 |
$79K |
| E0601 |
Cont airway pressure device |
1,354 |
1,131 |
$32K |
| A7034 |
Nasal application device |
1,159 |
1,006 |
$22K |
| E0562 |
Humidifier heated used w pap |
1,691 |
1,502 |
$21K |
| A7032 |
Replacement nasal cushion |
1,008 |
930 |
$17K |
| A7035 |
Pos airway press headgear |
1,978 |
1,688 |
$16K |
| A7038 |
Pos airway pressure filter |
5,436 |
4,823 |
$16K |
| A7037 |
Pos airway pressure tubing |
2,555 |
2,159 |
$14K |
| E1392 |
Portable oxygen concentrator |
2,601 |
2,219 |
$13K |
| A4604 |
Tubing with heating element |
439 |
364 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,419 |
1,219 |
$5K |
| B4035 |
Enteral feed supp pump per d |
49 |
41 |
$5K |
| E0570 |
Nebulizer with compression |
1,447 |
1,263 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
83 |
69 |
$5K |
| A7033 |
Replacement nasal pillows |
263 |
221 |
$3K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
24 |
24 |
$3K |
| E0443 |
Portable 02 contents, gas |
311 |
219 |
$1K |
| A7003 |
Nebulizer administration set |
416 |
317 |
$432.02 |
| A7039 |
Filter, non disposable w pap |
174 |
130 |
$391.52 |