| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
26,044 |
12,363 |
$457K |
| E0466 |
Home vent non-invasive inter |
2,814 |
1,202 |
$419K |
| E0601 |
Cont airway pressure device |
6,501 |
4,026 |
$126K |
| A7030 |
Cpap full face mask |
1,780 |
1,318 |
$58K |
| K0738 |
Portable gas oxygen system |
6,707 |
3,340 |
$47K |
| A7034 |
Nasal application device |
1,424 |
1,036 |
$27K |
| E1392 |
Portable oxygen concentrator |
4,064 |
2,046 |
$20K |
| E0431 |
Portable gaseous 02 |
3,354 |
1,802 |
$19K |
| A7035 |
Pos airway press headgear |
2,261 |
1,693 |
$16K |
| A7037 |
Pos airway pressure tubing |
2,397 |
1,792 |
$15K |
| E0562 |
Humidifier heated used w pap |
158 |
128 |
$13K |
| A7031 |
Replacement facemask interfa |
1,455 |
998 |
$13K |
| E0470 |
Rad w/o backup non-inv intfc |
264 |
157 |
$10K |
| E0570 |
Nebulizer with compression |
314 |
189 |
$6K |
| A7038 |
Pos airway pressure filter |
3,656 |
2,600 |
$6K |
| A7032 |
Replacement nasal cushion |
216 |
171 |
$3K |
| A4604 |
Tubing with heating element |
218 |
181 |
$3K |
| A7046 |
Repl water chamber, pap dev |
751 |
589 |
$2K |
| A7005 |
Nondisposable nebulizer set |
23 |
17 |
$312.48 |
| A7013 |
Disposable compressor filter |
23 |
17 |
$9.12 |
| A7003 |
Nebulizer administration set |
22 |
16 |
$0.00 |