| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,193 |
8,557 |
$673K |
| E0441 |
Stationary o2 contents, gas |
2,245 |
2,085 |
$116K |
| E0466 |
Home vent non-invasive inter |
285 |
265 |
$65K |
| E0431 |
Portable gaseous 02 |
4,559 |
4,215 |
$59K |
| A7030 |
Cpap full face mask |
653 |
598 |
$51K |
| E0601 |
Cont airway pressure device |
605 |
545 |
$27K |
| A7031 |
Replacement facemask interfa |
574 |
520 |
$21K |
| A7035 |
Pos airway press headgear |
683 |
638 |
$12K |
| A4604 |
Tubing with heating element |
298 |
261 |
$6K |
| A7046 |
Repl water chamber, pap dev |
539 |
494 |
$5K |
| A7038 |
Pos airway pressure filter |
1,472 |
1,364 |
$5K |
| E1392 |
Portable oxygen concentrator |
376 |
329 |
$4K |
| E0443 |
Portable 02 contents, gas |
585 |
303 |
$3K |
| A7037 |
Pos airway pressure tubing |
210 |
195 |
$2K |
| A7034 |
Nasal application device |
74 |
67 |
$2K |
| E0570 |
Nebulizer with compression |
203 |
176 |
$2K |
| E0562 |
Humidifier heated used w pap |
13 |
12 |
$1K |
| A7032 |
Replacement nasal cushion |
40 |
36 |
$498.12 |
| A7005 |
Nondisposable nebulizer set |
23 |
22 |
$401.78 |