| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,451 |
16,770 |
$757K |
| E0466 |
Home vent non-invasive inter |
2,482 |
2,289 |
$632K |
| E0431 |
Portable gaseous 02 |
7,258 |
6,551 |
$96K |
| E0570 |
Nebulizer with compression |
2,400 |
2,245 |
$17K |
| E1392 |
Portable oxygen concentrator |
579 |
535 |
$2K |
| A7003 |
Nebulizer administration set |
2,025 |
1,845 |
$2K |
| E0443 |
Portable 02 contents, gas |
372 |
186 |
$2K |
| E0562 |
Humidifier heated used w pap |
57 |
50 |
$510.81 |
| A7005 |
Nondisposable nebulizer set |
78 |
76 |
$464.85 |
| A7037 |
Pos airway pressure tubing |
54 |
51 |
$402.94 |
| A7038 |
Pos airway pressure filter |
146 |
122 |
$385.51 |
| E0601 |
Cont airway pressure device |
13 |
12 |
$354.81 |