| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,737 |
2,451 |
$143K |
| E0570 |
Nebulizer with compression |
2,265 |
2,002 |
$141K |
| E0601 |
Cont airway pressure device |
738 |
686 |
$46K |
| A7005 |
Nondisposable nebulizer set |
1,465 |
1,267 |
$23K |
| A7030 |
Cpap full face mask |
269 |
242 |
$19K |
| E1392 |
Portable oxygen concentrator |
1,043 |
977 |
$19K |
| E0466 |
Home vent non-invasive inter |
28 |
24 |
$10K |
| A7037 |
Pos airway pressure tubing |
497 |
458 |
$8K |
| E0431 |
Portable gaseous 02 |
536 |
436 |
$7K |
| A7031 |
Replacement facemask interfa |
218 |
188 |
$7K |
| A7038 |
Pos airway pressure filter |
512 |
453 |
$2K |
| A7035 |
Pos airway press headgear |
178 |
151 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,464 |
1,267 |
$2K |
| A7013 |
Disposable compressor filter |
1,463 |
1,266 |
$775.86 |
| A7039 |
Filter, non disposable w pap |
50 |
49 |
$240.00 |