| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,673 |
5,017 |
$308K |
| E0601 |
Cont airway pressure device |
3,489 |
2,391 |
$111K |
| E0466 |
Home vent non-invasive inter |
56 |
39 |
$27K |
| A7038 |
Pos airway pressure filter |
829 |
646 |
$6K |
| E0570 |
Nebulizer with compression |
468 |
366 |
$5K |
| E0430 |
Oxygen system gas portable |
171 |
148 |
$2K |
| A7031 |
Replacement facemask interfa |
158 |
132 |
$1K |
| E1392 |
Portable oxygen concentrator |
740 |
510 |
$1K |
| E0431 |
Portable gaseous 02 |
1,315 |
990 |
$1K |
| A7030 |
Cpap full face mask |
46 |
38 |
$509.43 |
| A7037 |
Pos airway pressure tubing |
79 |
49 |
$299.52 |
| A7039 |
Filter, non disposable w pap |
23 |
12 |
$0.00 |