| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
25,637 |
17,923 |
$840K |
| E0466 |
Home vent non-invasive inter |
762 |
440 |
$130K |
| E0431 |
Portable gaseous 02 |
13,139 |
9,202 |
$88K |
| E0601 |
Cont airway pressure device |
1,402 |
1,177 |
$78K |
| E1392 |
Portable oxygen concentrator |
5,927 |
3,940 |
$54K |
| E0562 |
Humidifier heated used w pap |
994 |
775 |
$49K |
| A7030 |
Cpap full face mask |
918 |
736 |
$48K |
| A4604 |
Tubing with heating element |
1,551 |
1,229 |
$33K |
| A7031 |
Replacement facemask interfa |
1,094 |
898 |
$25K |
| A7038 |
Pos airway pressure filter |
4,604 |
3,919 |
$19K |
| A7035 |
Pos airway press headgear |
1,362 |
1,126 |
$19K |
| E0570 |
Nebulizer with compression |
3,162 |
2,083 |
$12K |
| A7034 |
Nasal application device |
355 |
296 |
$12K |
| E0470 |
Rad w/o backup non-inv intfc |
198 |
134 |
$11K |
| A7046 |
Repl water chamber, pap dev |
717 |
585 |
$4K |
| E0443 |
Portable 02 contents, gas |
503 |
275 |
$3K |
| A7003 |
Nebulizer administration set |
1,878 |
1,289 |
$2K |
| A7032 |
Replacement nasal cushion |
137 |
101 |
$1K |
| A7005 |
Nondisposable nebulizer set |
20 |
12 |
$29.09 |