| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,051 |
8,460 |
$308K |
| E0466 |
Home vent non-invasive inter |
515 |
483 |
$129K |
| A7031 |
Replacement facemask interfa |
1,477 |
1,415 |
$36K |
| E0431 |
Portable gaseous 02 |
5,235 |
4,848 |
$32K |
| A7030 |
Cpap full face mask |
844 |
817 |
$31K |
| E0601 |
Cont airway pressure device |
1,223 |
1,148 |
$28K |
| E0562 |
Humidifier heated used w pap |
1,040 |
985 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,320 |
1,287 |
$8K |
| E0570 |
Nebulizer with compression |
1,728 |
1,647 |
$8K |
| A7038 |
Pos airway pressure filter |
2,561 |
2,456 |
$8K |
| A7035 |
Pos airway press headgear |
541 |
517 |
$4K |
| E1392 |
Portable oxygen concentrator |
362 |
338 |
$2K |
| A7032 |
Replacement nasal cushion |
40 |
40 |
$1K |
| A7046 |
Repl water chamber, pap dev |
262 |
256 |
$1K |
| A7034 |
Nasal application device |
24 |
24 |
$688.37 |
| A7003 |
Nebulizer administration set |
690 |
623 |
$426.12 |