| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
628 |
583 |
$212K |
| E1390 |
Oxygen concentrator |
5,332 |
4,861 |
$196K |
| E0431 |
Portable gaseous 02 |
1,736 |
1,602 |
$20K |
| K0738 |
Portable gas oxygen system |
1,924 |
1,781 |
$16K |
| A7030 |
Cpap full face mask |
350 |
296 |
$11K |
| E0601 |
Cont airway pressure device |
704 |
628 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
120 |
109 |
$4K |
| A7034 |
Nasal application device |
230 |
194 |
$4K |
| E0570 |
Nebulizer with compression |
678 |
647 |
$4K |
| A7035 |
Pos airway press headgear |
585 |
491 |
$4K |
| A7031 |
Replacement facemask interfa |
229 |
196 |
$3K |
| A7038 |
Pos airway pressure filter |
902 |
766 |
$3K |
| A4604 |
Tubing with heating element |
155 |
137 |
$2K |
| A7037 |
Pos airway pressure tubing |
438 |
377 |
$2K |
| A7046 |
Repl water chamber, pap dev |
260 |
227 |
$1K |
| E1392 |
Portable oxygen concentrator |
41 |
40 |
$316.31 |