| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,655 |
14,102 |
$1.03M |
| E0466 |
Home vent non-invasive inter |
554 |
519 |
$132K |
| E0431 |
Portable gaseous 02 |
10,343 |
9,235 |
$114K |
| A7030 |
Cpap full face mask |
1,061 |
972 |
$85K |
| A7031 |
Replacement facemask interfa |
2,032 |
1,874 |
$77K |
| A4604 |
Tubing with heating element |
1,174 |
1,069 |
$37K |
| E0601 |
Cont airway pressure device |
793 |
741 |
$34K |
| E0562 |
Humidifier heated used w pap |
1,417 |
1,308 |
$22K |
| A7038 |
Pos airway pressure filter |
3,059 |
2,830 |
$16K |
| E0570 |
Nebulizer with compression |
2,056 |
1,931 |
$13K |
| A7035 |
Pos airway press headgear |
635 |
573 |
$10K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
13 |
12 |
$9K |
| E1392 |
Portable oxygen concentrator |
424 |
378 |
$6K |
| A7046 |
Repl water chamber, pap dev |
391 |
351 |
$4K |
| E0443 |
Portable 02 contents, gas |
526 |
478 |
$3K |
| A7034 |
Nasal application device |
16 |
12 |
$627.69 |
| A7032 |
Replacement nasal cushion |
13 |
13 |
$432.46 |
| A7003 |
Nebulizer administration set |
35 |
28 |
$91.75 |
| A7039 |
Filter, non disposable w pap |
13 |
12 |
$76.93 |