| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,742 |
1,652 |
$770K |
| E1390 |
Oxygen concentrator |
10,209 |
9,373 |
$663K |
| E0601 |
Cont airway pressure device |
3,143 |
3,039 |
$133K |
| K0738 |
Portable gas oxygen system |
3,001 |
2,814 |
$72K |
| E0562 |
Humidifier heated used w pap |
341 |
260 |
$49K |
| A7030 |
Cpap full face mask |
542 |
470 |
$45K |
| E1392 |
Portable oxygen concentrator |
3,128 |
2,791 |
$43K |
| E0431 |
Portable gaseous 02 |
1,257 |
1,155 |
$21K |
| A7035 |
Pos airway press headgear |
890 |
799 |
$15K |
| A7037 |
Pos airway pressure tubing |
810 |
739 |
$12K |
| A7034 |
Nasal application device |
196 |
178 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
117 |
116 |
$10K |
| A7038 |
Pos airway pressure filter |
1,244 |
1,113 |
$7K |
| A7046 |
Repl water chamber, pap dev |
260 |
236 |
$2K |
| A4604 |
Tubing with heating element |
64 |
54 |
$2K |
| A7031 |
Replacement facemask interfa |
56 |
52 |
$2K |
| E0570 |
Nebulizer with compression |
24 |
24 |
$122.48 |