| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,429 |
4,161 |
$206K |
| E0466 |
Home vent non-invasive inter |
455 |
367 |
$168K |
| E0601 |
Cont airway pressure device |
4,830 |
3,337 |
$125K |
| E0430 |
Oxygen system gas portable |
653 |
578 |
$12K |
| A7038 |
Pos airway pressure filter |
1,897 |
1,410 |
$12K |
| A7031 |
Replacement facemask interfa |
1,034 |
788 |
$8K |
| A7030 |
Cpap full face mask |
789 |
548 |
$7K |
| E0570 |
Nebulizer with compression |
832 |
742 |
$6K |
| A7035 |
Pos airway press headgear |
524 |
370 |
$3K |
| E0562 |
Humidifier heated used w pap |
33 |
27 |
$3K |
| E0431 |
Portable gaseous 02 |
1,948 |
1,481 |
$3K |
| A7037 |
Pos airway pressure tubing |
871 |
603 |
$2K |
| E1392 |
Portable oxygen concentrator |
308 |
291 |
$1K |
| A4604 |
Tubing with heating element |
47 |
37 |
$379.29 |
| A7046 |
Repl water chamber, pap dev |
165 |
104 |
$347.05 |
| A7039 |
Filter, non disposable w pap |
57 |
45 |
$56.96 |
| A7032 |
Replacement nasal cushion |
12 |
12 |
$45.42 |
| A7034 |
Nasal application device |
42 |
27 |
$36.59 |