| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,466 |
9,622 |
$729K |
| E0466 |
Home vent non-invasive inter |
326 |
275 |
$105K |
| E0431 |
Portable gaseous 02 |
4,526 |
3,854 |
$47K |
| E1392 |
Portable oxygen concentrator |
2,570 |
2,027 |
$34K |
| A7031 |
Replacement facemask interfa |
803 |
704 |
$32K |
| E0570 |
Nebulizer with compression |
1,261 |
1,112 |
$25K |
| E0601 |
Cont airway pressure device |
344 |
306 |
$11K |
| A7030 |
Cpap full face mask |
177 |
149 |
$8K |
| A7038 |
Pos airway pressure filter |
1,279 |
1,133 |
$6K |
| A7003 |
Nebulizer administration set |
378 |
349 |
$1K |
| A4604 |
Tubing with heating element |
37 |
27 |
$600.82 |
| A7035 |
Pos airway press headgear |
28 |
26 |
$404.03 |
| A7015 |
Aerosol mask used w nebulize |
66 |
64 |
$109.88 |
| A7046 |
Repl water chamber, pap dev |
15 |
13 |
$83.56 |