| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
486 |
304 |
$239K |
| E0601 |
Cont airway pressure device |
3,411 |
3,183 |
$223K |
| E1390 |
Oxygen concentrator |
710 |
609 |
$72K |
| E0562 |
Humidifier heated used w pap |
3,155 |
2,962 |
$62K |
| A7030 |
Cpap full face mask |
281 |
265 |
$28K |
| E0470 |
Rad w/o backup non-inv intfc |
268 |
227 |
$26K |
| A4604 |
Tubing with heating element |
618 |
572 |
$22K |
| A7035 |
Pos airway press headgear |
547 |
507 |
$12K |
| A7038 |
Pos airway pressure filter |
656 |
604 |
$4K |
| A7031 |
Replacement facemask interfa |
98 |
95 |
$4K |
| A7034 |
Nasal application device |
65 |
55 |
$4K |
| A7002 |
Tubing used w suction pump |
18 |
12 |
$90.52 |