| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,554 |
2,031 |
$626K |
| E1390 |
Oxygen concentrator |
15,993 |
13,512 |
$517K |
| E0601 |
Cont airway pressure device |
1,711 |
1,407 |
$54K |
| E0431 |
Portable gaseous 02 |
7,487 |
6,275 |
$51K |
| E0483 |
Hi freq chest wall oscil sys |
76 |
62 |
$30K |
| A7031 |
Replacement facemask interfa |
1,316 |
1,170 |
$29K |
| E0562 |
Humidifier heated used w pap |
2,052 |
1,693 |
$15K |
| E1392 |
Portable oxygen concentrator |
1,302 |
1,106 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,270 |
1,154 |
$11K |
| E0570 |
Nebulizer with compression |
1,216 |
944 |
$8K |
| A7038 |
Pos airway pressure filter |
2,160 |
1,919 |
$6K |
| A7030 |
Cpap full face mask |
120 |
105 |
$5K |
| A7035 |
Pos airway press headgear |
222 |
195 |
$2K |
| A4604 |
Tubing with heating element |
73 |
63 |
$2K |
| A7003 |
Nebulizer administration set |
1,818 |
1,371 |
$798.46 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$131.08 |
| E0443 |
Portable 02 contents, gas |
14 |
12 |
$117.09 |