| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,291 |
4,946 |
$234K |
| E0466 |
Home vent non-invasive inter |
963 |
884 |
$218K |
| E0601 |
Cont airway pressure device |
768 |
744 |
$32K |
| E0431 |
Portable gaseous 02 |
3,090 |
2,942 |
$29K |
| E0570 |
Nebulizer with compression |
236 |
236 |
$10K |
| A7030 |
Cpap full face mask |
126 |
122 |
$8K |
| E1392 |
Portable oxygen concentrator |
577 |
557 |
$7K |
| A7031 |
Replacement facemask interfa |
84 |
81 |
$4K |
| E0445 |
Oximeter non-invasive |
12 |
12 |
$2K |
| A7038 |
Pos airway pressure filter |
177 |
169 |
$2K |
| A7005 |
Nondisposable nebulizer set |
73 |
73 |
$1K |
| A7035 |
Pos airway press headgear |
30 |
28 |
$404.31 |
| A7037 |
Pos airway pressure tubing |
27 |
26 |
$310.66 |
| A7046 |
Repl water chamber, pap dev |
27 |
26 |
$160.02 |
| A7003 |
Nebulizer administration set |
54 |
54 |
$92.60 |
| A7013 |
Disposable compressor filter |
58 |
58 |
$24.08 |