| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,846 |
9,822 |
$370K |
| E0466 |
Home vent non-invasive inter |
342 |
341 |
$45K |
| E0431 |
Portable gaseous 02 |
5,346 |
5,332 |
$37K |
| E1392 |
Portable oxygen concentrator |
903 |
902 |
$8K |
| E0601 |
Cont airway pressure device |
117 |
117 |
$4K |
| E0562 |
Humidifier heated used w pap |
346 |
346 |
$3K |
| E0570 |
Nebulizer with compression |
1,011 |
1,010 |
$2K |
| A7038 |
Pos airway pressure filter |
703 |
697 |
$2K |
| A7030 |
Cpap full face mask |
36 |
36 |
$770.08 |
| A7037 |
Pos airway pressure tubing |
96 |
96 |
$373.58 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$221.70 |
| A7003 |
Nebulizer administration set |
406 |
387 |
$175.14 |
| A7035 |
Pos airway press headgear |
38 |
38 |
$98.17 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$25.32 |