| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,092 |
5,607 |
$176K |
| E0466 |
Home vent non-invasive inter |
513 |
482 |
$110K |
| E0431 |
Portable gaseous 02 |
4,301 |
3,873 |
$22K |
| A7031 |
Replacement facemask interfa |
163 |
153 |
$4K |
| E0562 |
Humidifier heated used w pap |
323 |
295 |
$3K |
| E0570 |
Nebulizer with compression |
947 |
877 |
$2K |
| A7038 |
Pos airway pressure filter |
622 |
582 |
$2K |
| E1392 |
Portable oxygen concentrator |
159 |
151 |
$1K |
| E0601 |
Cont airway pressure device |
87 |
83 |
$1K |
| A7037 |
Pos airway pressure tubing |
93 |
89 |
$912.36 |
| A7003 |
Nebulizer administration set |
483 |
422 |
$228.93 |