| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,654 |
4,962 |
$403K |
| E0466 |
Home vent non-invasive inter |
742 |
578 |
$198K |
| E0601 |
Cont airway pressure device |
1,930 |
1,714 |
$116K |
| E0431 |
Portable gaseous 02 |
2,690 |
2,380 |
$38K |
| A7030 |
Cpap full face mask |
368 |
314 |
$33K |
| A7035 |
Pos airway press headgear |
1,199 |
1,054 |
$24K |
| A7038 |
Pos airway pressure filter |
1,466 |
1,303 |
$15K |
| A7037 |
Pos airway pressure tubing |
696 |
604 |
$13K |
| E0570 |
Nebulizer with compression |
147 |
134 |
$9K |
| A7031 |
Replacement facemask interfa |
92 |
79 |
$5K |
| K0738 |
Portable gas oxygen system |
279 |
246 |
$3K |
| A7034 |
Nasal application device |
61 |
52 |
$3K |
| A4604 |
Tubing with heating element |
63 |
52 |
$2K |
| A7005 |
Nondisposable nebulizer set |
55 |
53 |
$1K |
| A7046 |
Repl water chamber, pap dev |
67 |
63 |
$874.87 |
| E1392 |
Portable oxygen concentrator |
13 |
12 |
$212.18 |
| A7003 |
Nebulizer administration set |
41 |
40 |
$52.92 |
| A7013 |
Disposable compressor filter |
54 |
52 |
$36.95 |