| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,739 |
5,083 |
$275K |
| E0601 |
Cont airway pressure device |
1,995 |
1,304 |
$52K |
| E0466 |
Home vent non-invasive inter |
73 |
61 |
$11K |
| A7038 |
Pos airway pressure filter |
603 |
458 |
$5K |
| E1392 |
Portable oxygen concentrator |
1,742 |
1,296 |
$5K |
| A7031 |
Replacement facemask interfa |
289 |
210 |
$3K |
| A7030 |
Cpap full face mask |
190 |
119 |
$2K |
| E0570 |
Nebulizer with compression |
210 |
157 |
$979.32 |
| K0738 |
Portable gas oxygen system |
314 |
298 |
$717.13 |
| A4604 |
Tubing with heating element |
132 |
87 |
$605.90 |
| E0431 |
Portable gaseous 02 |
396 |
315 |
$416.08 |
| E0430 |
Oxygen system gas portable |
14 |
12 |
$300.86 |