| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,775 |
1,381 |
$340K |
| E1390 |
Oxygen concentrator |
2,311 |
1,928 |
$140K |
| E0465 |
Home vent invasive interface |
246 |
186 |
$46K |
| E0601 |
Cont airway pressure device |
1,155 |
1,005 |
$18K |
| E0431 |
Portable gaseous 02 |
1,352 |
1,077 |
$11K |
| A7031 |
Replacement facemask interfa |
471 |
369 |
$790.17 |
| A4629 |
Tracheostomy care kit |
18 |
12 |
$529.92 |
| E0470 |
Rad w/o backup non-inv intfc |
30 |
25 |
$422.74 |
| E0562 |
Humidifier heated used w pap |
107 |
93 |
$230.02 |
| A4604 |
Tubing with heating element |
401 |
334 |
$169.31 |
| A7030 |
Cpap full face mask |
168 |
138 |
$152.83 |
| A7038 |
Pos airway pressure filter |
926 |
762 |
$117.38 |
| A7033 |
Replacement nasal pillows |
21 |
16 |
$70.12 |
| E0570 |
Nebulizer with compression |
192 |
172 |
$64.10 |
| E1392 |
Portable oxygen concentrator |
13 |
12 |
$43.42 |
| A7034 |
Nasal application device |
51 |
43 |
$42.01 |
| A7035 |
Pos airway press headgear |
184 |
145 |
$13.33 |
| A7032 |
Replacement nasal cushion |
42 |
38 |
$0.00 |
| A7046 |
Repl water chamber, pap dev |
65 |
51 |
$0.00 |