| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,714 |
5,274 |
$500K |
| E0601 |
Cont airway pressure device |
1,044 |
580 |
$71K |
| E0466 |
Home vent non-invasive inter |
284 |
214 |
$48K |
| E0431 |
Portable gaseous 02 |
4,573 |
2,818 |
$42K |
| A7031 |
Replacement facemask interfa |
989 |
725 |
$34K |
| E0562 |
Humidifier heated used w pap |
1,433 |
794 |
$28K |
| A4604 |
Tubing with heating element |
816 |
696 |
$22K |
| E1392 |
Portable oxygen concentrator |
1,444 |
1,036 |
$22K |
| A7030 |
Cpap full face mask |
232 |
199 |
$15K |
| A7032 |
Replacement nasal cushion |
371 |
317 |
$15K |
| E0570 |
Nebulizer with compression |
1,910 |
1,435 |
$14K |
| A7038 |
Pos airway pressure filter |
2,191 |
1,671 |
$13K |
| A7034 |
Nasal application device |
174 |
149 |
$9K |
| A7035 |
Pos airway press headgear |
425 |
364 |
$7K |
| A7046 |
Repl water chamber, pap dev |
143 |
122 |
$1K |
| A7003 |
Nebulizer administration set |
244 |
175 |
$368.62 |