| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,111 |
7,311 |
$222K |
| E0466 |
Home vent non-invasive inter |
683 |
568 |
$195K |
| E0431 |
Portable gaseous 02 |
2,145 |
1,909 |
$26K |
| K0738 |
Portable gas oxygen system |
2,298 |
1,980 |
$22K |
| E0601 |
Cont airway pressure device |
1,054 |
910 |
$21K |
| E1392 |
Portable oxygen concentrator |
2,161 |
1,799 |
$21K |
| A7030 |
Cpap full face mask |
158 |
118 |
$3K |
| A7037 |
Pos airway pressure tubing |
443 |
332 |
$2K |
| A7038 |
Pos airway pressure filter |
1,456 |
836 |
$2K |
| A7035 |
Pos airway press headgear |
366 |
241 |
$2K |
| A7034 |
Nasal application device |
108 |
64 |
$1K |
| A7031 |
Replacement facemask interfa |
58 |
38 |
$651.98 |
| E0260 |
Hosp bed semi-electr w/ matt |
21 |
13 |
$258.35 |
| A7046 |
Repl water chamber, pap dev |
23 |
15 |
$54.40 |