| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,000 |
6,338 |
$156K |
| E0431 |
Portable gaseous 02 |
4,541 |
3,737 |
$52K |
| E0601 |
Cont airway pressure device |
936 |
795 |
$18K |
| E0466 |
Home vent non-invasive inter |
128 |
87 |
$16K |
| E0570 |
Nebulizer with compression |
2,364 |
1,938 |
$10K |
| B4035 |
Enteral feed supp pump per d |
27 |
24 |
$4K |
| E0562 |
Humidifier heated used w pap |
390 |
322 |
$3K |
| E1392 |
Portable oxygen concentrator |
1,066 |
720 |
$2K |
| A7003 |
Nebulizer administration set |
440 |
342 |
$423.28 |
| A7038 |
Pos airway pressure filter |
1,190 |
1,016 |
$391.42 |
| A7031 |
Replacement facemask interfa |
40 |
39 |
$191.16 |
| A7037 |
Pos airway pressure tubing |
396 |
354 |
$170.74 |
| A7034 |
Nasal application device |
138 |
124 |
$163.96 |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$37.93 |
| A7035 |
Pos airway press headgear |
139 |
123 |
$24.73 |
| A7046 |
Repl water chamber, pap dev |
108 |
95 |
$15.84 |
| A4604 |
Tubing with heating element |
17 |
15 |
$9.37 |
| A7030 |
Cpap full face mask |
40 |
39 |
$0.00 |