| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,498 |
12,824 |
$601K |
| E0466 |
Home vent non-invasive inter |
771 |
380 |
$143K |
| E0601 |
Cont airway pressure device |
4,021 |
2,548 |
$118K |
| A7030 |
Cpap full face mask |
2,461 |
1,630 |
$113K |
| A7031 |
Replacement facemask interfa |
3,185 |
2,151 |
$76K |
| E0431 |
Portable gaseous 02 |
11,151 |
6,624 |
$56K |
| E0562 |
Humidifier heated used w pap |
4,887 |
3,093 |
$40K |
| A7037 |
Pos airway pressure tubing |
2,788 |
1,894 |
$25K |
| A7035 |
Pos airway press headgear |
1,856 |
1,303 |
$20K |
| A7038 |
Pos airway pressure filter |
5,312 |
3,858 |
$18K |
| E0570 |
Nebulizer with compression |
3,220 |
2,043 |
$15K |
| E1392 |
Portable oxygen concentrator |
1,308 |
824 |
$9K |
| A4604 |
Tubing with heating element |
163 |
137 |
$3K |
| A7034 |
Nasal application device |
54 |
41 |
$2K |
| A7046 |
Repl water chamber, pap dev |
289 |
205 |
$950.01 |
| A7032 |
Replacement nasal cushion |
16 |
13 |
$744.21 |
| A7003 |
Nebulizer administration set |
1,497 |
984 |
$618.65 |
| A7033 |
Replacement nasal pillows |
14 |
13 |
$456.58 |