| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,654 |
3,638 |
$150K |
| E0466 |
Home vent non-invasive inter |
167 |
164 |
$54K |
| E0601 |
Cont airway pressure device |
783 |
781 |
$40K |
| E0431 |
Portable gaseous 02 |
1,275 |
1,228 |
$14K |
| E1392 |
Portable oxygen concentrator |
271 |
269 |
$5K |
| A7034 |
Nasal application device |
165 |
163 |
$4K |
| A7037 |
Pos airway pressure tubing |
514 |
507 |
$4K |
| A7035 |
Pos airway press headgear |
239 |
238 |
$2K |
| A7038 |
Pos airway pressure filter |
906 |
887 |
$2K |
| A7030 |
Cpap full face mask |
25 |
25 |
$937.32 |
| E0562 |
Humidifier heated used w pap |
26 |
26 |
$583.37 |
| A7046 |
Repl water chamber, pap dev |
79 |
79 |
$495.86 |
| A7032 |
Replacement nasal cushion |
14 |
14 |
$326.35 |