| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
41,392 |
39,397 |
$3.35M |
| E0466 |
Home vent non-invasive inter |
3,943 |
3,730 |
$1.77M |
| E0441 |
Stationary o2 contents, gas |
6,303 |
5,987 |
$347K |
| E0431 |
Portable gaseous 02 |
19,819 |
18,822 |
$278K |
| E0483 |
Hi freq chest wall oscil sys |
630 |
596 |
$177K |
| E0601 |
Cont airway pressure device |
2,153 |
1,882 |
$118K |
| A7030 |
Cpap full face mask |
1,358 |
1,230 |
$80K |
| E0570 |
Nebulizer with compression |
3,084 |
2,928 |
$71K |
| E0562 |
Humidifier heated used w pap |
1,171 |
993 |
$57K |
| A7031 |
Replacement facemask interfa |
1,702 |
1,524 |
$46K |
| A7037 |
Pos airway pressure tubing |
2,275 |
2,103 |
$31K |
| E1392 |
Portable oxygen concentrator |
1,954 |
1,845 |
$22K |
| A7035 |
Pos airway press headgear |
1,336 |
1,224 |
$18K |
| A7038 |
Pos airway pressure filter |
3,251 |
2,943 |
$9K |
| A7046 |
Repl water chamber, pap dev |
978 |
874 |
$8K |
| E0439 |
Stationary liquid 02 |
119 |
115 |
$5K |
| E0442 |
Stationary o2 contents, liq |
243 |
173 |
$5K |
| A7034 |
Nasal application device |
99 |
85 |
$4K |
| A7003 |
Nebulizer administration set |
1,462 |
1,360 |
$2K |
| E0443 |
Portable 02 contents, gas |
399 |
226 |
$2K |
| B4150 |
Ef complet w/intact nutrient |
13 |
13 |
$2K |
| A7032 |
Replacement nasal cushion |
36 |
28 |
$650.62 |
| A7005 |
Nondisposable nebulizer set |
13 |
12 |
$143.97 |
| A7013 |
Disposable compressor filter |
39 |
36 |
$18.15 |