| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,432 |
2,630 |
$524K |
| E1390 |
Oxygen concentrator |
11,101 |
7,212 |
$258K |
| A7030 |
Cpap full face mask |
1,918 |
1,504 |
$91K |
| E0601 |
Cont airway pressure device |
4,099 |
2,460 |
$56K |
| E0431 |
Portable gaseous 02 |
5,370 |
3,370 |
$38K |
| A7031 |
Replacement facemask interfa |
1,427 |
1,090 |
$27K |
| E0470 |
Rad w/o backup non-inv intfc |
763 |
486 |
$23K |
| A7037 |
Pos airway pressure tubing |
2,457 |
1,976 |
$23K |
| E0562 |
Humidifier heated used w pap |
2,358 |
1,234 |
$18K |
| A7035 |
Pos airway press headgear |
1,808 |
1,438 |
$17K |
| A7038 |
Pos airway pressure filter |
2,673 |
2,120 |
$8K |
| K0738 |
Portable gas oxygen system |
1,459 |
1,233 |
$8K |
| E0570 |
Nebulizer with compression |
680 |
516 |
$5K |
| A7046 |
Repl water chamber, pap dev |
933 |
751 |
$4K |
| A7034 |
Nasal application device |
126 |
107 |
$3K |