| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,111 |
8,793 |
$450K |
| E0466 |
Home vent non-invasive inter |
550 |
518 |
$338K |
| E0431 |
Portable gaseous 02 |
7,686 |
7,456 |
$86K |
| E0601 |
Cont airway pressure device |
968 |
912 |
$38K |
| E0562 |
Humidifier heated used w pap |
662 |
628 |
$9K |
| E0570 |
Nebulizer with compression |
682 |
633 |
$3K |
| A7030 |
Cpap full face mask |
68 |
67 |
$3K |
| A7038 |
Pos airway pressure filter |
384 |
368 |
$1K |
| A7037 |
Pos airway pressure tubing |
149 |
146 |
$1K |
| A7031 |
Replacement facemask interfa |
38 |
37 |
$426.20 |
| E1392 |
Portable oxygen concentrator |
147 |
141 |
$256.23 |
| A7035 |
Pos airway press headgear |
41 |
40 |
$168.14 |
| A7039 |
Filter, non disposable w pap |
13 |
12 |
$29.64 |