| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,049 |
14,579 |
$782K |
| E0466 |
Home vent non-invasive inter |
961 |
504 |
$314K |
| E0431 |
Portable gaseous 02 |
15,965 |
9,860 |
$96K |
| E0601 |
Cont airway pressure device |
3,294 |
2,060 |
$79K |
| A7030 |
Cpap full face mask |
1,801 |
1,135 |
$76K |
| A7031 |
Replacement facemask interfa |
2,273 |
1,434 |
$49K |
| E0562 |
Humidifier heated used w pap |
3,222 |
2,010 |
$24K |
| A7037 |
Pos airway pressure tubing |
2,531 |
1,555 |
$18K |
| A7038 |
Pos airway pressure filter |
4,666 |
3,085 |
$14K |
| A7035 |
Pos airway press headgear |
1,532 |
989 |
$14K |
| E0570 |
Nebulizer with compression |
2,962 |
2,003 |
$10K |
| A7034 |
Nasal application device |
128 |
74 |
$2K |
| A4604 |
Tubing with heating element |
103 |
84 |
$2K |
| A7046 |
Repl water chamber, pap dev |
231 |
153 |
$580.34 |
| E1392 |
Portable oxygen concentrator |
37 |
24 |
$213.42 |
| E0443 |
Portable 02 contents, gas |
315 |
283 |
$210.21 |
| A7003 |
Nebulizer administration set |
551 |
419 |
$175.77 |
| A7032 |
Replacement nasal cushion |
23 |
12 |
$146.54 |