| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,759 |
2,462 |
$1.09M |
| E1390 |
Oxygen concentrator |
10,389 |
8,859 |
$392K |
| E0601 |
Cont airway pressure device |
2,601 |
2,030 |
$65K |
| E0431 |
Portable gaseous 02 |
3,696 |
3,344 |
$39K |
| K0738 |
Portable gas oxygen system |
1,448 |
1,342 |
$24K |
| A7030 |
Cpap full face mask |
311 |
250 |
$15K |
| A7037 |
Pos airway pressure tubing |
799 |
700 |
$7K |
| A7038 |
Pos airway pressure filter |
1,085 |
938 |
$5K |
| A7035 |
Pos airway press headgear |
461 |
405 |
$5K |
| A7031 |
Replacement facemask interfa |
193 |
159 |
$4K |
| E1392 |
Portable oxygen concentrator |
332 |
262 |
$2K |
| E0562 |
Humidifier heated used w pap |
17 |
16 |
$2K |
| A7046 |
Repl water chamber, pap dev |
100 |
91 |
$570.16 |
| A7034 |
Nasal application device |
12 |
12 |
$423.98 |