| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,665 |
5,572 |
$264K |
| A7030 |
Cpap full face mask |
1,890 |
1,770 |
$108K |
| E0466 |
Home vent non-invasive inter |
273 |
256 |
$76K |
| E0431 |
Portable gaseous 02 |
5,135 |
3,806 |
$67K |
| A7031 |
Replacement facemask interfa |
2,458 |
2,266 |
$62K |
| E0601 |
Cont airway pressure device |
2,960 |
1,860 |
$50K |
| A7037 |
Pos airway pressure tubing |
2,563 |
2,343 |
$35K |
| A7035 |
Pos airway press headgear |
1,898 |
1,760 |
$26K |
| E0562 |
Humidifier heated used w pap |
3,915 |
2,459 |
$23K |
| A7038 |
Pos airway pressure filter |
4,774 |
4,395 |
$18K |
| A7046 |
Repl water chamber, pap dev |
2,220 |
2,069 |
$17K |
| A7034 |
Nasal application device |
238 |
207 |
$7K |
| E0570 |
Nebulizer with compression |
1,736 |
1,087 |
$6K |
| E1392 |
Portable oxygen concentrator |
484 |
377 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
62 |
50 |
$2K |
| B4035 |
Enteral feed supp pump per d |
17 |
12 |
$1K |
| A7032 |
Replacement nasal cushion |
40 |
36 |
$518.98 |