| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,794 |
19,520 |
$670K |
| E0466 |
Home vent non-invasive inter |
1,049 |
1,033 |
$309K |
| E0431 |
Portable gaseous 02 |
10,438 |
10,275 |
$92K |
| E0570 |
Nebulizer with compression |
9,033 |
8,959 |
$23K |
| E0601 |
Cont airway pressure device |
762 |
752 |
$23K |
| E0562 |
Humidifier heated used w pap |
1,096 |
1,079 |
$13K |
| E1392 |
Portable oxygen concentrator |
337 |
329 |
$4K |
| A7038 |
Pos airway pressure filter |
1,135 |
1,127 |
$3K |
| A7032 |
Replacement nasal cushion |
125 |
124 |
$3K |
| E0443 |
Portable 02 contents, gas |
191 |
187 |
$2K |
| A7035 |
Pos airway press headgear |
109 |
109 |
$944.43 |
| A7030 |
Cpap full face mask |
36 |
36 |
$895.28 |
| A7031 |
Replacement facemask interfa |
63 |
63 |
$576.24 |
| A4604 |
Tubing with heating element |
39 |
39 |
$470.72 |
| A7005 |
Nondisposable nebulizer set |
173 |
164 |
$368.87 |
| A7034 |
Nasal application device |
25 |
25 |
$301.45 |
| A7003 |
Nebulizer administration set |
560 |
540 |
$260.94 |
| A7046 |
Repl water chamber, pap dev |
41 |
41 |
$155.31 |
| A7037 |
Pos airway pressure tubing |
36 |
36 |
$128.81 |