| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
599 |
598 |
$473K |
| E1390 |
Oxygen concentrator |
3,562 |
3,494 |
$313K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
216 |
215 |
$116K |
| E0601 |
Cont airway pressure device |
913 |
900 |
$90K |
| E0562 |
Humidifier heated used w pap |
1,188 |
1,174 |
$40K |
| E0431 |
Portable gaseous 02 |
1,587 |
1,556 |
$27K |
| E1392 |
Portable oxygen concentrator |
406 |
401 |
$16K |
| A7034 |
Nasal application device |
119 |
119 |
$11K |
| A7032 |
Replacement nasal cushion |
200 |
198 |
$9K |
| A7037 |
Pos airway pressure tubing |
311 |
308 |
$8K |
| A7035 |
Pos airway press headgear |
249 |
247 |
$7K |
| A7038 |
Pos airway pressure filter |
466 |
459 |
$4K |
| K0001 |
Standard wheelchair |
36 |
36 |
$3K |
| A7046 |
Repl water chamber, pap dev |
42 |
42 |
$768.27 |
| A7033 |
Replacement nasal pillows |
15 |
15 |
$524.39 |