| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
39,815 |
19,482 |
$4.36M |
| E0466 |
Home vent non-invasive inter |
1,899 |
889 |
$1.77M |
| E0439 |
Stationary liquid 02 |
7,093 |
3,458 |
$785K |
| E0601 |
Cont airway pressure device |
7,474 |
3,613 |
$424K |
| E0444 |
Portable 02 contents, liquid |
8,714 |
4,084 |
$405K |
| E0434 |
Portable liquid 02 |
19,202 |
6,204 |
$352K |
| E0431 |
Portable gaseous 02 |
15,814 |
7,671 |
$294K |
| E0443 |
Portable 02 contents, gas |
5,954 |
2,911 |
$280K |
| E0562 |
Humidifier heated used w pap |
12,007 |
5,667 |
$215K |
| E0471 |
Rad w/backup non inv intrfc |
551 |
269 |
$181K |
| E0570 |
Nebulizer with compression |
16,309 |
7,433 |
$177K |
| A7030 |
Cpap full face mask |
1,109 |
496 |
$123K |
| E1392 |
Portable oxygen concentrator |
3,177 |
1,597 |
$101K |
| A7031 |
Replacement facemask interfa |
1,984 |
941 |
$82K |
| A7034 |
Nasal application device |
898 |
419 |
$63K |
| A7032 |
Replacement nasal cushion |
891 |
420 |
$42K |
| E0470 |
Rad w/o backup non-inv intfc |
283 |
140 |
$37K |
| A7037 |
Pos airway pressure tubing |
1,497 |
699 |
$36K |
| A7033 |
Replacement nasal pillows |
914 |
445 |
$30K |
| A7035 |
Pos airway press headgear |
1,266 |
584 |
$27K |
| A7038 |
Pos airway pressure filter |
4,135 |
1,971 |
$26K |
| A4604 |
Tubing with heating element |
334 |
162 |
$13K |
| A7046 |
Repl water chamber, pap dev |
800 |
380 |
$9K |
| A7003 |
Nebulizer administration set |
259 |
113 |
$846.62 |
| A7039 |
Filter, non disposable w pap |
84 |
39 |
$591.30 |