| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,514 |
17,637 |
$1.62M |
| E0431 |
Portable gaseous 02 |
8,777 |
7,891 |
$115K |
| E0601 |
Cont airway pressure device |
2,244 |
1,843 |
$84K |
| E0466 |
Home vent non-invasive inter |
312 |
264 |
$78K |
| E0445 |
Oximeter non-invasive |
348 |
295 |
$59K |
| A7030 |
Cpap full face mask |
921 |
735 |
$25K |
| K0738 |
Portable gas oxygen system |
3,242 |
2,470 |
$12K |
| E0562 |
Humidifier heated used w pap |
710 |
619 |
$10K |
| A7035 |
Pos airway press headgear |
926 |
741 |
$10K |
| E0424 |
Stationary compressed gas 02 |
347 |
316 |
$9K |
| A7038 |
Pos airway pressure filter |
1,819 |
1,336 |
$8K |
| A7037 |
Pos airway pressure tubing |
942 |
761 |
$7K |
| A7031 |
Replacement facemask interfa |
700 |
545 |
$7K |
| E0570 |
Nebulizer with compression |
206 |
192 |
$2K |
| E0600 |
Suction pump portab hom modl |
76 |
69 |
$2K |
| A7034 |
Nasal application device |
98 |
68 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
48 |
38 |
$2K |
| A7046 |
Repl water chamber, pap dev |
294 |
247 |
$2K |
| E1392 |
Portable oxygen concentrator |
107 |
102 |
$936.24 |
| A4604 |
Tubing with heating element |
31 |
25 |
$468.17 |
| E0470 |
Rad w/o backup non-inv intfc |
13 |
12 |
$441.46 |
| A7032 |
Replacement nasal cushion |
24 |
14 |
$194.00 |