| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,946 |
8,877 |
$439K |
| E0466 |
Home vent non-invasive inter |
886 |
861 |
$287K |
| E0431 |
Portable gaseous 02 |
6,441 |
6,391 |
$62K |
| E0601 |
Cont airway pressure device |
1,202 |
1,181 |
$43K |
| E0570 |
Nebulizer with compression |
1,318 |
1,284 |
$20K |
| E0562 |
Humidifier heated used w pap |
909 |
884 |
$15K |
| A7030 |
Cpap full face mask |
102 |
101 |
$6K |
| A7037 |
Pos airway pressure tubing |
328 |
323 |
$3K |
| A7035 |
Pos airway press headgear |
196 |
195 |
$2K |
| A7038 |
Pos airway pressure filter |
686 |
679 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$1K |
| A7031 |
Replacement facemask interfa |
39 |
38 |
$940.46 |
| A7034 |
Nasal application device |
13 |
12 |
$237.30 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$41.54 |
| A7013 |
Disposable compressor filter |
12 |
12 |
$11.32 |