| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,409 |
8,787 |
$490K |
| E0431 |
Portable gaseous 02 |
8,033 |
6,111 |
$80K |
| E0466 |
Home vent non-invasive inter |
39 |
36 |
$18K |
| E0570 |
Nebulizer with compression |
2,352 |
1,615 |
$10K |
| A7038 |
Pos airway pressure filter |
458 |
329 |
$1K |
| E1392 |
Portable oxygen concentrator |
75 |
36 |
$1K |
| A7031 |
Replacement facemask interfa |
53 |
37 |
$728.56 |
| A7030 |
Cpap full face mask |
18 |
13 |
$584.44 |
| E0562 |
Humidifier heated used w pap |
58 |
49 |
$397.30 |
| A7005 |
Nondisposable nebulizer set |
33 |
24 |
$203.98 |
| A7003 |
Nebulizer administration set |
330 |
190 |
$141.50 |
| A7037 |
Pos airway pressure tubing |
17 |
12 |
$36.70 |
| A7035 |
Pos airway press headgear |
16 |
12 |
$29.86 |