| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,021 |
5,245 |
$388K |
| E0466 |
Home vent non-invasive inter |
118 |
103 |
$63K |
| E0431 |
Portable gaseous 02 |
3,489 |
2,995 |
$60K |
| E0601 |
Cont airway pressure device |
1,130 |
1,003 |
$46K |
| A7030 |
Cpap full face mask |
419 |
354 |
$24K |
| A7037 |
Pos airway pressure tubing |
1,214 |
1,071 |
$18K |
| A7038 |
Pos airway pressure filter |
1,491 |
1,285 |
$14K |
| E0562 |
Humidifier heated used w pap |
356 |
300 |
$12K |
| A7035 |
Pos airway press headgear |
374 |
324 |
$6K |
| A7039 |
Filter, non disposable w pap |
147 |
130 |
$2K |
| A7031 |
Replacement facemask interfa |
59 |
53 |
$1K |
| E0570 |
Nebulizer with compression |
144 |
127 |
$1K |
| A7046 |
Repl water chamber, pap dev |
19 |
12 |
$113.97 |