| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,886 |
6,422 |
$524K |
| E0431 |
Portable gaseous 02 |
4,885 |
4,535 |
$55K |
| E0466 |
Home vent non-invasive inter |
24 |
24 |
$11K |
| E0570 |
Nebulizer with compression |
1,213 |
1,147 |
$10K |
| A7031 |
Replacement facemask interfa |
211 |
192 |
$8K |
| E0601 |
Cont airway pressure device |
286 |
275 |
$7K |
| A7038 |
Pos airway pressure filter |
838 |
781 |
$4K |
| E0443 |
Portable 02 contents, gas |
93 |
93 |
$2K |
| A7030 |
Cpap full face mask |
28 |
24 |
$770.78 |
| A7035 |
Pos airway press headgear |
13 |
12 |
$225.22 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$125.00 |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$107.76 |
| A7003 |
Nebulizer administration set |
13 |
12 |
$34.73 |