| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,670 |
1,489 |
$497K |
| A9276 |
Disposable sensor, cgm sys |
3,607 |
2,927 |
$413K |
| A7030 |
Cpap full face mask |
5,769 |
3,862 |
$241K |
| E1390 |
Oxygen concentrator |
5,604 |
3,618 |
$173K |
| E0601 |
Cont airway pressure device |
6,722 |
4,866 |
$164K |
| A7031 |
Replacement facemask interfa |
6,528 |
4,642 |
$137K |
| A4604 |
Tubing with heating element |
6,884 |
4,650 |
$121K |
| E0470 |
Rad w/o backup non-inv intfc |
1,820 |
1,220 |
$94K |
| E0562 |
Humidifier heated used w pap |
5,351 |
4,283 |
$62K |
| E1392 |
Portable oxygen concentrator |
3,713 |
2,400 |
$42K |
| A7035 |
Pos airway press headgear |
4,051 |
2,723 |
$35K |
| A4239 |
Non-adju cgm supply allow |
1,605 |
1,039 |
$34K |
| A7034 |
Nasal application device |
1,059 |
709 |
$26K |
| A7038 |
Pos airway pressure filter |
10,868 |
8,186 |
$21K |
| A7032 |
Replacement nasal cushion |
628 |
491 |
$18K |
| A6196 |
Alginate dressing <=16 sq in |
16 |
13 |
$4K |
| E0570 |
Nebulizer with compression |
296 |
201 |
$2K |
| A7039 |
Filter, non disposable w pap |
594 |
376 |
$1K |
| A7037 |
Pos airway pressure tubing |
18 |
12 |
$34.24 |
| K0553 |
Ther cgm supply allowance |
2,036 |
1,540 |
$0.00 |