| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,385 |
18,780 |
$624K |
| E0466 |
Home vent non-invasive inter |
1,056 |
975 |
$237K |
| K0738 |
Portable gas oxygen system |
3,897 |
3,639 |
$142K |
| E0431 |
Portable gaseous 02 |
2,550 |
2,399 |
$68K |
| E1392 |
Portable oxygen concentrator |
6,462 |
6,113 |
$47K |
| E0601 |
Cont airway pressure device |
2,291 |
2,113 |
$44K |
| A7030 |
Cpap full face mask |
270 |
259 |
$17K |
| A7037 |
Pos airway pressure tubing |
946 |
909 |
$11K |
| A7035 |
Pos airway press headgear |
592 |
565 |
$7K |
| A7038 |
Pos airway pressure filter |
1,365 |
1,296 |
$6K |
| A7034 |
Nasal application device |
117 |
114 |
$4K |
| A7031 |
Replacement facemask interfa |
178 |
167 |
$3K |
| E0570 |
Nebulizer with compression |
187 |
185 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
81 |
79 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
29 |
24 |
$1K |
| A7046 |
Repl water chamber, pap dev |
98 |
94 |
$674.58 |
| A7005 |
Nondisposable nebulizer set |
26 |
26 |
$379.62 |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$96.33 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$7.66 |