| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,681 |
5,420 |
$199K |
| E0466 |
Home vent non-invasive inter |
692 |
647 |
$121K |
| E0601 |
Cont airway pressure device |
2,844 |
2,635 |
$35K |
| E0431 |
Portable gaseous 02 |
3,345 |
3,190 |
$25K |
| E1392 |
Portable oxygen concentrator |
377 |
362 |
$5K |
| E0562 |
Humidifier heated used w pap |
173 |
164 |
$4K |
| A7037 |
Pos airway pressure tubing |
760 |
688 |
$1K |
| A9279 |
Monitoring feature/devicenoc |
1,552 |
1,410 |
$1K |
| A7035 |
Pos airway press headgear |
447 |
405 |
$1K |
| A7030 |
Cpap full face mask |
222 |
198 |
$1K |
| A7038 |
Pos airway pressure filter |
1,114 |
1,000 |
$667.64 |
| A4604 |
Tubing with heating element |
40 |
37 |
$476.89 |
| E0570 |
Nebulizer with compression |
169 |
156 |
$267.06 |
| A7039 |
Filter, non disposable w pap |
72 |
61 |
$86.42 |
| A7031 |
Replacement facemask interfa |
103 |
91 |
$61.86 |
| A7046 |
Repl water chamber, pap dev |
32 |
28 |
$40.05 |
| A7034 |
Nasal application device |
59 |
52 |
$30.21 |