| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,250 |
4,655 |
$362K |
| E0466 |
Home vent non-invasive inter |
387 |
352 |
$171K |
| E0441 |
Stationary o2 contents, gas |
1,303 |
1,198 |
$69K |
| E0431 |
Portable gaseous 02 |
2,459 |
2,368 |
$35K |
| E0601 |
Cont airway pressure device |
96 |
95 |
$7K |
| E0562 |
Humidifier heated used w pap |
44 |
44 |
$4K |
| A7030 |
Cpap full face mask |
38 |
38 |
$3K |
| E1392 |
Portable oxygen concentrator |
103 |
99 |
$1K |
| A7038 |
Pos airway pressure filter |
375 |
367 |
$1K |
| A7037 |
Pos airway pressure tubing |
40 |
40 |
$905.98 |
| E0443 |
Portable 02 contents, gas |
45 |
24 |
$221.66 |
| A7003 |
Nebulizer administration set |
14 |
13 |
$24.79 |