| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,584 |
11,301 |
$418K |
| E0466 |
Home vent non-invasive inter |
1,280 |
1,264 |
$350K |
| E0431 |
Portable gaseous 02 |
9,908 |
9,669 |
$78K |
| A7031 |
Replacement facemask interfa |
700 |
690 |
$20K |
| A7030 |
Cpap full face mask |
308 |
306 |
$8K |
| E0601 |
Cont airway pressure device |
328 |
322 |
$6K |
| A7038 |
Pos airway pressure filter |
1,606 |
1,579 |
$5K |
| A7037 |
Pos airway pressure tubing |
584 |
576 |
$4K |
| E0562 |
Humidifier heated used w pap |
195 |
184 |
$2K |
| A7035 |
Pos airway press headgear |
226 |
223 |
$1K |
| A7034 |
Nasal application device |
78 |
78 |
$988.51 |
| E0570 |
Nebulizer with compression |
773 |
752 |
$673.93 |
| E1392 |
Portable oxygen concentrator |
274 |
273 |
$342.05 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$221.65 |
| A7046 |
Repl water chamber, pap dev |
81 |
81 |
$131.98 |
| A4604 |
Tubing with heating element |
26 |
26 |
$0.00 |