| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,676 |
12,284 |
$397K |
| E0466 |
Home vent non-invasive inter |
1,909 |
1,672 |
$172K |
| E0431 |
Portable gaseous 02 |
7,738 |
6,855 |
$44K |
| A7031 |
Replacement facemask interfa |
1,921 |
1,683 |
$40K |
| A7030 |
Cpap full face mask |
1,098 |
969 |
$38K |
| E0601 |
Cont airway pressure device |
1,394 |
1,281 |
$30K |
| E0562 |
Humidifier heated used w pap |
2,196 |
2,029 |
$20K |
| E0470 |
Rad w/o backup non-inv intfc |
357 |
286 |
$14K |
| A7037 |
Pos airway pressure tubing |
1,657 |
1,465 |
$11K |
| A7035 |
Pos airway press headgear |
989 |
850 |
$7K |
| A7038 |
Pos airway pressure filter |
2,971 |
2,692 |
$5K |
| E1392 |
Portable oxygen concentrator |
603 |
535 |
$5K |
| E0570 |
Nebulizer with compression |
1,176 |
1,028 |
$4K |
| E0443 |
Portable 02 contents, gas |
617 |
454 |
$2K |
| A7034 |
Nasal application device |
114 |
90 |
$2K |
| A7032 |
Replacement nasal cushion |
84 |
73 |
$1K |
| A7046 |
Repl water chamber, pap dev |
355 |
300 |
$1K |
| A7003 |
Nebulizer administration set |
1,001 |
882 |
$339.41 |