| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,843 |
11,801 |
$372K |
| E0466 |
Home vent non-invasive inter |
379 |
292 |
$101K |
| E0431 |
Portable gaseous 02 |
6,630 |
5,717 |
$44K |
| A7031 |
Replacement facemask interfa |
908 |
771 |
$19K |
| A7037 |
Pos airway pressure tubing |
1,423 |
1,245 |
$11K |
| E0562 |
Humidifier heated used w pap |
1,222 |
1,038 |
$9K |
| E0601 |
Cont airway pressure device |
226 |
208 |
$8K |
| A7038 |
Pos airway pressure filter |
2,164 |
1,849 |
$5K |
| A7030 |
Cpap full face mask |
149 |
117 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
38 |
38 |
$3K |
| E1392 |
Portable oxygen concentrator |
426 |
355 |
$2K |
| A7035 |
Pos airway press headgear |
146 |
132 |
$2K |
| E0570 |
Nebulizer with compression |
230 |
150 |
$1K |
| A7046 |
Repl water chamber, pap dev |
64 |
58 |
$525.88 |
| E0443 |
Portable 02 contents, gas |
144 |
122 |
$436.00 |
| A7003 |
Nebulizer administration set |
476 |
361 |
$276.47 |