| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
8,494 |
8,380 |
$3.30M |
| E1390 |
Oxygen concentrator |
3,496 |
3,485 |
$197K |
| E1392 |
Portable oxygen concentrator |
3,283 |
3,280 |
$67K |
| E0601 |
Cont airway pressure device |
558 |
558 |
$25K |
| A7030 |
Cpap full face mask |
61 |
61 |
$6K |
| A7037 |
Pos airway pressure tubing |
286 |
286 |
$5K |
| A7035 |
Pos airway press headgear |
141 |
141 |
$3K |
| A7038 |
Pos airway pressure filter |
401 |
395 |
$2K |
| E0562 |
Humidifier heated used w pap |
49 |
49 |
$1K |
| A7034 |
Nasal application device |
13 |
13 |
$726.59 |
| A7039 |
Filter, non disposable w pap |
87 |
87 |
$653.66 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$195.64 |