| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,290 |
11,091 |
$677K |
| E0466 |
Home vent non-invasive inter |
229 |
198 |
$101K |
| E0431 |
Portable gaseous 02 |
9,804 |
7,282 |
$95K |
| A7030 |
Cpap full face mask |
1,943 |
1,309 |
$85K |
| E0601 |
Cont airway pressure device |
3,095 |
2,163 |
$82K |
| A7031 |
Replacement facemask interfa |
2,447 |
1,762 |
$72K |
| E0562 |
Humidifier heated used w pap |
3,420 |
2,433 |
$30K |
| A7037 |
Pos airway pressure tubing |
2,220 |
1,527 |
$17K |
| A7038 |
Pos airway pressure filter |
4,151 |
3,191 |
$16K |
| A7035 |
Pos airway press headgear |
1,522 |
1,083 |
$12K |
| B4152 |
Ef calorie dense>/=1.5kcal |
108 |
81 |
$12K |
| E0570 |
Nebulizer with compression |
1,925 |
1,331 |
$10K |
| A7034 |
Nasal application device |
529 |
339 |
$8K |
| B4034 |
Enter feed supkit syr by day |
118 |
84 |
$5K |
| A7032 |
Replacement nasal cushion |
146 |
92 |
$3K |
| A7046 |
Repl water chamber, pap dev |
836 |
576 |
$3K |
| A4604 |
Tubing with heating element |
163 |
119 |
$2K |
| A7003 |
Nebulizer administration set |
118 |
111 |
$41.90 |