| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,199 |
9,315 |
$667K |
| E0466 |
Home vent non-invasive inter |
290 |
261 |
$227K |
| E0601 |
Cont airway pressure device |
1,890 |
1,787 |
$76K |
| K0738 |
Portable gas oxygen system |
1,955 |
1,817 |
$52K |
| E1392 |
Portable oxygen concentrator |
1,282 |
1,199 |
$40K |
| E0431 |
Portable gaseous 02 |
2,309 |
2,091 |
$37K |
| A7030 |
Cpap full face mask |
388 |
353 |
$34K |
| A7034 |
Nasal application device |
474 |
404 |
$22K |
| A7031 |
Replacement facemask interfa |
391 |
352 |
$21K |
| A4604 |
Tubing with heating element |
443 |
396 |
$16K |
| A7035 |
Pos airway press headgear |
749 |
674 |
$13K |
| A7032 |
Replacement nasal cushion |
250 |
219 |
$12K |
| A7038 |
Pos airway pressure filter |
1,605 |
1,354 |
$10K |
| E0470 |
Rad w/o backup non-inv intfc |
109 |
92 |
$8K |
| A7037 |
Pos airway pressure tubing |
675 |
603 |
$7K |
| A7046 |
Repl water chamber, pap dev |
484 |
429 |
$5K |