| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,557 |
8,097 |
$399K |
| E0466 |
Home vent non-invasive inter |
726 |
650 |
$185K |
| A7031 |
Replacement facemask interfa |
1,500 |
1,351 |
$44K |
| E0601 |
Cont airway pressure device |
1,137 |
1,000 |
$37K |
| E0431 |
Portable gaseous 02 |
4,057 |
3,313 |
$31K |
| A7030 |
Cpap full face mask |
412 |
345 |
$26K |
| E1392 |
Portable oxygen concentrator |
2,389 |
1,905 |
$20K |
| E0562 |
Humidifier heated used w pap |
1,259 |
1,136 |
$17K |
| E0570 |
Nebulizer with compression |
2,638 |
2,193 |
$16K |
| A7038 |
Pos airway pressure filter |
2,964 |
2,638 |
$11K |
| A7037 |
Pos airway pressure tubing |
871 |
705 |
$8K |
| A7035 |
Pos airway press headgear |
422 |
367 |
$5K |
| A7005 |
Nondisposable nebulizer set |
151 |
127 |
$1K |
| A7034 |
Nasal application device |
34 |
32 |
$1K |
| A7046 |
Repl water chamber, pap dev |
157 |
137 |
$1K |
| A4604 |
Tubing with heating element |
31 |
27 |
$867.94 |
| A7032 |
Replacement nasal cushion |
31 |
25 |
$823.43 |
| A7003 |
Nebulizer administration set |
157 |
135 |
$292.84 |