| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,630 |
8,728 |
$393K |
| E0431 |
Portable gaseous 02 |
6,603 |
4,972 |
$46K |
| E0601 |
Cont airway pressure device |
815 |
620 |
$24K |
| E1392 |
Portable oxygen concentrator |
3,039 |
1,988 |
$22K |
| A7038 |
Pos airway pressure filter |
3,689 |
3,075 |
$17K |
| A4604 |
Tubing with heating element |
702 |
522 |
$14K |
| A7035 |
Pos airway press headgear |
1,029 |
798 |
$13K |
| E0466 |
Home vent non-invasive inter |
38 |
25 |
$11K |
| E0562 |
Humidifier heated used w pap |
544 |
384 |
$10K |
| A7031 |
Replacement facemask interfa |
485 |
382 |
$9K |
| A7034 |
Nasal application device |
302 |
215 |
$8K |
| A7030 |
Cpap full face mask |
148 |
114 |
$7K |
| E0570 |
Nebulizer with compression |
1,263 |
805 |
$5K |
| A7046 |
Repl water chamber, pap dev |
426 |
320 |
$3K |
| A7032 |
Replacement nasal cushion |
78 |
56 |
$1K |
| A7037 |
Pos airway pressure tubing |
75 |
49 |
$618.64 |
| A7003 |
Nebulizer administration set |
108 |
67 |
$104.44 |
| E0443 |
Portable 02 contents, gas |
28 |
14 |
$21.04 |