| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,202 |
8,193 |
$444K |
| E0431 |
Portable gaseous 02 |
5,352 |
5,344 |
$54K |
| E0466 |
Home vent non-invasive inter |
101 |
101 |
$27K |
| E0601 |
Cont airway pressure device |
350 |
350 |
$13K |
| E0562 |
Humidifier heated used w pap |
498 |
498 |
$6K |
| E0570 |
Nebulizer with compression |
1,027 |
1,026 |
$3K |
| A7030 |
Cpap full face mask |
38 |
38 |
$2K |
| E1392 |
Portable oxygen concentrator |
168 |
168 |
$2K |
| A7038 |
Pos airway pressure filter |
167 |
165 |
$518.61 |
| A7031 |
Replacement facemask interfa |
28 |
26 |
$259.06 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$170.17 |
| A7035 |
Pos airway press headgear |
15 |
14 |
$132.47 |
| A7003 |
Nebulizer administration set |
186 |
177 |
$72.49 |