| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
761 |
594 |
$99K |
| E1390 |
Oxygen concentrator |
3,320 |
2,861 |
$17K |
| E0483 |
Hi freq chest wall oscil sys |
148 |
103 |
$16K |
| E0431 |
Portable gaseous 02 |
1,220 |
1,064 |
$8K |
| E0562 |
Humidifier heated used w pap |
232 |
206 |
$4K |
| E0601 |
Cont airway pressure device |
342 |
299 |
$723.79 |
| A7030 |
Cpap full face mask |
16 |
12 |
$473.49 |
| E0570 |
Nebulizer with compression |
196 |
156 |
$200.90 |
| A7038 |
Pos airway pressure filter |
106 |
94 |
$20.31 |
| A7037 |
Pos airway pressure tubing |
17 |
14 |
$2.38 |
| E1392 |
Portable oxygen concentrator |
52 |
39 |
$0.00 |
| A7031 |
Replacement facemask interfa |
17 |
13 |
$0.00 |