| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,219 |
7,719 |
$348K |
| E0466 |
Home vent non-invasive inter |
915 |
871 |
$270K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
294 |
290 |
$55K |
| A7031 |
Replacement facemask interfa |
1,521 |
1,493 |
$48K |
| A7030 |
Cpap full face mask |
427 |
422 |
$36K |
| E0431 |
Portable gaseous 02 |
3,459 |
3,254 |
$31K |
| E0601 |
Cont airway pressure device |
651 |
628 |
$22K |
| E1392 |
Portable oxygen concentrator |
2,642 |
2,429 |
$21K |
| E0562 |
Humidifier heated used w pap |
1,333 |
1,291 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
92 |
90 |
$12K |
| A7038 |
Pos airway pressure filter |
2,445 |
2,366 |
$10K |
| A4604 |
Tubing with heating element |
239 |
237 |
$7K |
| E0570 |
Nebulizer with compression |
1,056 |
1,024 |
$5K |
| A7035 |
Pos airway press headgear |
281 |
275 |
$5K |
| B4150 |
Ef complet w/intact nutrient |
33 |
24 |
$3K |
| A7037 |
Pos airway pressure tubing |
178 |
176 |
$2K |
| A7046 |
Repl water chamber, pap dev |
113 |
113 |
$1K |
| A7003 |
Nebulizer administration set |
76 |
67 |
$71.19 |