| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,690 |
13,597 |
$759K |
| E0466 |
Home vent non-invasive inter |
189 |
189 |
$84K |
| E0431 |
Portable gaseous 02 |
6,242 |
6,163 |
$63K |
| E0601 |
Cont airway pressure device |
710 |
703 |
$26K |
| E0570 |
Nebulizer with compression |
2,457 |
2,410 |
$15K |
| A7031 |
Replacement facemask interfa |
241 |
238 |
$6K |
| A7030 |
Cpap full face mask |
146 |
146 |
$5K |
| A7038 |
Pos airway pressure filter |
785 |
772 |
$4K |
| E0562 |
Humidifier heated used w pap |
428 |
421 |
$3K |
| E1392 |
Portable oxygen concentrator |
234 |
234 |
$2K |
| A7035 |
Pos airway press headgear |
131 |
129 |
$1K |
| A7037 |
Pos airway pressure tubing |
61 |
61 |
$964.18 |
| A7003 |
Nebulizer administration set |
699 |
647 |
$723.01 |
| A7046 |
Repl water chamber, pap dev |
64 |
64 |
$245.40 |
| A4604 |
Tubing with heating element |
24 |
24 |
$167.92 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$30.88 |