| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
36,920 |
36,054 |
$1.09M |
| E0466 |
Home vent non-invasive inter |
1,125 |
1,124 |
$205K |
| E0431 |
Portable gaseous 02 |
20,965 |
20,450 |
$179K |
| E1392 |
Portable oxygen concentrator |
6,168 |
6,023 |
$66K |
| E0443 |
Portable 02 contents, gas |
1,653 |
1,612 |
$25K |
| E0570 |
Nebulizer with compression |
10,628 |
10,550 |
$17K |
| E0601 |
Cont airway pressure device |
848 |
841 |
$13K |
| A7034 |
Nasal application device |
726 |
716 |
$13K |
| A7032 |
Replacement nasal cushion |
172 |
164 |
$8K |
| A7038 |
Pos airway pressure filter |
1,760 |
1,716 |
$6K |
| A7035 |
Pos airway press headgear |
649 |
640 |
$5K |
| A7037 |
Pos airway pressure tubing |
569 |
557 |
$3K |
| A4604 |
Tubing with heating element |
216 |
214 |
$3K |
| E0562 |
Humidifier heated used w pap |
473 |
465 |
$3K |
| A7031 |
Replacement facemask interfa |
81 |
75 |
$2K |
| A7003 |
Nebulizer administration set |
2,360 |
2,275 |
$2K |
| A7005 |
Nondisposable nebulizer set |
337 |
332 |
$1K |
| A7046 |
Repl water chamber, pap dev |
247 |
243 |
$975.01 |
| A7030 |
Cpap full face mask |
43 |
39 |
$865.75 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$332.85 |
| A7015 |
Aerosol mask used w nebulize |
387 |
378 |
$165.41 |
| A7013 |
Disposable compressor filter |
51 |
51 |
$14.44 |
| A7039 |
Filter, non disposable w pap |
20 |
14 |
$12.93 |