| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,108 |
11,051 |
$818K |
| E0466 |
Home vent non-invasive inter |
619 |
606 |
$240K |
| E0601 |
Cont airway pressure device |
1,229 |
1,211 |
$53K |
| E0431 |
Portable gaseous 02 |
3,750 |
3,734 |
$47K |
| E0570 |
Nebulizer with compression |
1,660 |
1,654 |
$14K |
| A7038 |
Pos airway pressure filter |
442 |
436 |
$5K |
| E0562 |
Humidifier heated used w pap |
389 |
387 |
$3K |
| A7035 |
Pos airway press headgear |
111 |
110 |
$1K |
| A7030 |
Cpap full face mask |
15 |
14 |
$792.65 |
| A7037 |
Pos airway pressure tubing |
29 |
29 |
$400.60 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$171.91 |
| A7046 |
Repl water chamber, pap dev |
25 |
25 |
$122.36 |
| A4604 |
Tubing with heating element |
13 |
13 |
$101.99 |