| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,169 |
6,184 |
$149K |
| E0466 |
Home vent non-invasive inter |
1,462 |
966 |
$108K |
| E0431 |
Portable gaseous 02 |
5,346 |
3,642 |
$30K |
| E0601 |
Cont airway pressure device |
1,543 |
1,170 |
$26K |
| E0562 |
Humidifier heated used w pap |
2,026 |
1,604 |
$14K |
| B4034 |
Enter feed supkit syr by day |
144 |
97 |
$9K |
| E0570 |
Nebulizer with compression |
2,866 |
1,921 |
$4K |
| E1392 |
Portable oxygen concentrator |
1,073 |
732 |
$3K |
| A7031 |
Replacement facemask interfa |
424 |
277 |
$3K |
| A7030 |
Cpap full face mask |
353 |
230 |
$3K |
| A7037 |
Pos airway pressure tubing |
1,188 |
865 |
$1K |
| A7035 |
Pos airway press headgear |
627 |
436 |
$784.08 |
| A7038 |
Pos airway pressure filter |
2,162 |
1,466 |
$701.86 |
| A7003 |
Nebulizer administration set |
1,114 |
766 |
$582.94 |
| A7034 |
Nasal application device |
297 |
203 |
$577.90 |
| E0470 |
Rad w/o backup non-inv intfc |
17 |
13 |
$444.72 |
| A7046 |
Repl water chamber, pap dev |
352 |
237 |
$68.47 |