| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,201 |
5,662 |
$194K |
| E0431 |
Portable gaseous 02 |
3,426 |
3,118 |
$23K |
| A7031 |
Replacement facemask interfa |
669 |
598 |
$16K |
| E0466 |
Home vent non-invasive inter |
151 |
135 |
$13K |
| A7030 |
Cpap full face mask |
161 |
133 |
$5K |
| E0601 |
Cont airway pressure device |
297 |
283 |
$5K |
| E0562 |
Humidifier heated used w pap |
640 |
584 |
$5K |
| A7038 |
Pos airway pressure filter |
1,347 |
1,238 |
$4K |
| E1392 |
Portable oxygen concentrator |
386 |
366 |
$3K |
| E0570 |
Nebulizer with compression |
853 |
806 |
$2K |
| A7037 |
Pos airway pressure tubing |
310 |
280 |
$2K |
| A7035 |
Pos airway press headgear |
41 |
38 |
$230.83 |
| A7046 |
Repl water chamber, pap dev |
60 |
49 |
$204.06 |
| A7003 |
Nebulizer administration set |
238 |
211 |
$148.69 |