| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
22,927 |
22,901 |
$1.39M |
| E0466 |
Home vent non-invasive inter |
2,672 |
2,671 |
$1.14M |
| E0431 |
Portable gaseous 02 |
17,374 |
17,342 |
$199K |
| E0570 |
Nebulizer with compression |
5,455 |
5,442 |
$32K |
| E0601 |
Cont airway pressure device |
742 |
736 |
$32K |
| E1392 |
Portable oxygen concentrator |
1,303 |
1,302 |
$19K |
| E0443 |
Portable 02 contents, gas |
586 |
586 |
$15K |
| E0562 |
Humidifier heated used w pap |
681 |
677 |
$11K |
| A7005 |
Nondisposable nebulizer set |
636 |
634 |
$3K |
| A7038 |
Pos airway pressure filter |
562 |
556 |
$2K |
| A7030 |
Cpap full face mask |
37 |
37 |
$2K |
| A4604 |
Tubing with heating element |
109 |
108 |
$2K |
| A7003 |
Nebulizer administration set |
2,355 |
2,232 |
$2K |
| A7031 |
Replacement facemask interfa |
24 |
24 |
$778.65 |
| A7035 |
Pos airway press headgear |
24 |
24 |
$320.18 |
| A7046 |
Repl water chamber, pap dev |
24 |
24 |
$199.56 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$3.84 |
| B4035 |
Enteral feed supp pump per d |
20 |
12 |
$0.00 |