| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,040 |
4,926 |
$118K |
| E0431 |
Portable gaseous 02 |
4,252 |
3,361 |
$25K |
| E0601 |
Cont airway pressure device |
550 |
491 |
$14K |
| E0562 |
Humidifier heated used w pap |
603 |
543 |
$3K |
| E0570 |
Nebulizer with compression |
781 |
622 |
$3K |
| E1392 |
Portable oxygen concentrator |
608 |
533 |
$2K |
| E0466 |
Home vent non-invasive inter |
13 |
12 |
$2K |
| A7031 |
Replacement facemask interfa |
159 |
135 |
$443.59 |
| A7030 |
Cpap full face mask |
181 |
161 |
$324.67 |
| A7037 |
Pos airway pressure tubing |
344 |
286 |
$121.57 |
| A7038 |
Pos airway pressure filter |
731 |
585 |
$82.88 |
| A7035 |
Pos airway press headgear |
116 |
100 |
$25.82 |
| A7003 |
Nebulizer administration set |
16 |
13 |
$13.91 |
| A7046 |
Repl water chamber, pap dev |
71 |
59 |
$0.00 |
| A7034 |
Nasal application device |
16 |
14 |
$0.00 |