| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
33,181 |
31,582 |
$2.65M |
| E0441 |
Stationary o2 contents, gas |
7,144 |
6,659 |
$369K |
| E0466 |
Home vent non-invasive inter |
891 |
800 |
$317K |
| E0431 |
Portable gaseous 02 |
16,769 |
15,939 |
$245K |
| E0601 |
Cont airway pressure device |
1,513 |
1,396 |
$84K |
| A7030 |
Cpap full face mask |
685 |
616 |
$41K |
| A7031 |
Replacement facemask interfa |
1,064 |
943 |
$31K |
| E1392 |
Portable oxygen concentrator |
2,043 |
1,933 |
$27K |
| A7037 |
Pos airway pressure tubing |
1,912 |
1,756 |
$26K |
| E0570 |
Nebulizer with compression |
1,311 |
1,232 |
$26K |
| E0562 |
Humidifier heated used w pap |
548 |
508 |
$26K |
| A7034 |
Nasal application device |
519 |
485 |
$16K |
| A7035 |
Pos airway press headgear |
1,007 |
936 |
$14K |
| A7038 |
Pos airway pressure filter |
3,048 |
2,762 |
$9K |
| E0439 |
Stationary liquid 02 |
138 |
132 |
$7K |
| A7046 |
Repl water chamber, pap dev |
631 |
589 |
$5K |
| E0443 |
Portable 02 contents, gas |
634 |
422 |
$5K |
| E0442 |
Stationary o2 contents, liq |
298 |
192 |
$5K |
| A7032 |
Replacement nasal cushion |
102 |
91 |
$2K |
| A4604 |
Tubing with heating element |
67 |
63 |
$2K |
| E0434 |
Portable liquid 02 |
43 |
42 |
$466.38 |
| A7033 |
Replacement nasal pillows |
13 |
12 |
$278.51 |
| E0444 |
Portable 02 contents, liquid |
85 |
64 |
$132.19 |
| A7003 |
Nebulizer administration set |
73 |
66 |
$66.76 |