| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,570 |
12,891 |
$1.01M |
| E0441 |
Stationary o2 contents, gas |
4,086 |
3,780 |
$221K |
| E0431 |
Portable gaseous 02 |
11,432 |
10,877 |
$162K |
| E0601 |
Cont airway pressure device |
1,493 |
1,296 |
$73K |
| E0466 |
Home vent non-invasive inter |
117 |
116 |
$48K |
| A7030 |
Cpap full face mask |
651 |
591 |
$37K |
| E0562 |
Humidifier heated used w pap |
536 |
475 |
$24K |
| A7031 |
Replacement facemask interfa |
914 |
797 |
$23K |
| E0570 |
Nebulizer with compression |
979 |
888 |
$18K |
| A7037 |
Pos airway pressure tubing |
1,130 |
1,032 |
$15K |
| A7035 |
Pos airway press headgear |
765 |
702 |
$11K |
| A7038 |
Pos airway pressure filter |
2,431 |
2,162 |
$6K |
| A7046 |
Repl water chamber, pap dev |
555 |
512 |
$5K |
| A7034 |
Nasal application device |
65 |
60 |
$2K |
| E0443 |
Portable 02 contents, gas |
59 |
48 |
$270.28 |
| A7003 |
Nebulizer administration set |
102 |
94 |
$108.62 |
| A4604 |
Tubing with heating element |
14 |
12 |
$63.55 |