| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,881 |
2,334 |
$542K |
| E1390 |
Oxygen concentrator |
12,575 |
8,587 |
$279K |
| E0601 |
Cont airway pressure device |
3,720 |
2,831 |
$78K |
| K0738 |
Portable gas oxygen system |
4,066 |
2,648 |
$32K |
| E0562 |
Humidifier heated used w pap |
1,286 |
1,038 |
$19K |
| A7034 |
Nasal application device |
829 |
513 |
$18K |
| E1392 |
Portable oxygen concentrator |
1,835 |
1,307 |
$15K |
| A7030 |
Cpap full face mask |
329 |
217 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,790 |
1,156 |
$9K |
| A7035 |
Pos airway press headgear |
1,391 |
876 |
$9K |
| E0431 |
Portable gaseous 02 |
1,291 |
894 |
$8K |
| A7038 |
Pos airway pressure filter |
2,468 |
1,615 |
$6K |
| A7031 |
Replacement facemask interfa |
240 |
160 |
$3K |
| E0439 |
Stationary liquid 02 |
29 |
24 |
$2K |
| A7046 |
Repl water chamber, pap dev |
350 |
229 |
$2K |
| E0570 |
Nebulizer with compression |
274 |
180 |
$989.65 |
| A7032 |
Replacement nasal cushion |
39 |
25 |
$448.92 |
| A4604 |
Tubing with heating element |
21 |
12 |
$193.52 |