| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,895 |
12,972 |
$322K |
| E0466 |
Home vent non-invasive inter |
1,168 |
1,079 |
$170K |
| K0738 |
Portable gas oxygen system |
5,996 |
5,107 |
$68K |
| E0601 |
Cont airway pressure device |
1,412 |
1,227 |
$23K |
| E0431 |
Portable gaseous 02 |
2,941 |
2,610 |
$18K |
| E1392 |
Portable oxygen concentrator |
2,363 |
2,128 |
$15K |
| A7030 |
Cpap full face mask |
241 |
183 |
$6K |
| A7038 |
Pos airway pressure filter |
2,179 |
1,605 |
$4K |
| A7031 |
Replacement facemask interfa |
317 |
243 |
$4K |
| E2402 |
Neg press wound therapy pump |
19 |
14 |
$4K |
| A7035 |
Pos airway press headgear |
566 |
405 |
$3K |
| A7037 |
Pos airway pressure tubing |
778 |
570 |
$3K |
| E0570 |
Nebulizer with compression |
514 |
466 |
$2K |
| A7034 |
Nasal application device |
99 |
65 |
$2K |
| A7046 |
Repl water chamber, pap dev |
81 |
63 |
$432.26 |
| A4604 |
Tubing with heating element |
23 |
16 |
$416.66 |