| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,077 |
7,716 |
$454K |
| E0466 |
Home vent non-invasive inter |
80 |
60 |
$51K |
| K0738 |
Portable gas oxygen system |
2,437 |
2,090 |
$43K |
| E0431 |
Portable gaseous 02 |
1,993 |
1,720 |
$28K |
| E0601 |
Cont airway pressure device |
808 |
700 |
$22K |
| A7038 |
Pos airway pressure filter |
1,665 |
1,356 |
$7K |
| A7035 |
Pos airway press headgear |
276 |
228 |
$4K |
| A7037 |
Pos airway pressure tubing |
264 |
218 |
$3K |
| A7030 |
Cpap full face mask |
53 |
40 |
$3K |
| A7034 |
Nasal application device |
62 |
52 |
$2K |
| A7032 |
Replacement nasal cushion |
100 |
86 |
$2K |
| E0434 |
Portable liquid 02 |
81 |
64 |
$522.02 |
| A7046 |
Repl water chamber, pap dev |
68 |
54 |
$389.75 |
| A7031 |
Replacement facemask interfa |
23 |
13 |
$290.99 |