| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,073 |
993 |
$499K |
| E1390 |
Oxygen concentrator |
12,092 |
11,168 |
$481K |
| E0431 |
Portable gaseous 02 |
3,262 |
2,981 |
$49K |
| K0738 |
Portable gas oxygen system |
3,822 |
3,576 |
$43K |
| E0601 |
Cont airway pressure device |
1,814 |
1,600 |
$32K |
| A7030 |
Cpap full face mask |
524 |
488 |
$22K |
| A7034 |
Nasal application device |
606 |
560 |
$18K |
| E1392 |
Portable oxygen concentrator |
1,494 |
1,448 |
$15K |
| E0570 |
Nebulizer with compression |
1,113 |
1,098 |
$14K |
| A4604 |
Tubing with heating element |
731 |
688 |
$12K |
| A7031 |
Replacement facemask interfa |
441 |
408 |
$9K |
| A7035 |
Pos airway press headgear |
930 |
867 |
$9K |
| A7038 |
Pos airway pressure filter |
1,337 |
1,221 |
$5K |
| E0562 |
Humidifier heated used w pap |
52 |
42 |
$3K |
| A7037 |
Pos airway pressure tubing |
296 |
278 |
$2K |
| A7046 |
Repl water chamber, pap dev |
430 |
407 |
$2K |
| A7032 |
Replacement nasal cushion |
45 |
39 |
$1K |
| E0470 |
Rad w/o backup non-inv intfc |
15 |
12 |
$247.17 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$82.45 |
| A7003 |
Nebulizer administration set |
15 |
15 |
$23.83 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$3.50 |