| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,534 |
2,359 |
$895K |
| E1390 |
Oxygen concentrator |
10,100 |
9,201 |
$374K |
| E0601 |
Cont airway pressure device |
2,165 |
1,913 |
$46K |
| K0738 |
Portable gas oxygen system |
3,012 |
2,810 |
$30K |
| E0431 |
Portable gaseous 02 |
2,340 |
2,142 |
$29K |
| A7034 |
Nasal application device |
749 |
662 |
$23K |
| A7030 |
Cpap full face mask |
264 |
240 |
$12K |
| A7035 |
Pos airway press headgear |
1,167 |
1,037 |
$11K |
| A7037 |
Pos airway pressure tubing |
1,324 |
1,161 |
$11K |
| E1392 |
Portable oxygen concentrator |
859 |
824 |
$9K |
| A7038 |
Pos airway pressure filter |
1,884 |
1,650 |
$7K |
| A7032 |
Replacement nasal cushion |
129 |
112 |
$4K |
| A7046 |
Repl water chamber, pap dev |
465 |
417 |
$3K |
| A7031 |
Replacement facemask interfa |
85 |
79 |
$2K |
| E0570 |
Nebulizer with compression |
284 |
274 |
$2K |
| E0562 |
Humidifier heated used w pap |
33 |
27 |
$1K |
| A4604 |
Tubing with heating element |
25 |
24 |
$672.95 |