| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
29,790 |
29,151 |
$810K |
| E0466 |
Home vent non-invasive inter |
2,749 |
2,743 |
$628K |
| E0431 |
Portable gaseous 02 |
22,638 |
22,198 |
$182K |
| E1392 |
Portable oxygen concentrator |
2,392 |
2,298 |
$25K |
| E0443 |
Portable 02 contents, gas |
1,322 |
1,294 |
$24K |
| E0483 |
Hi freq chest wall oscil sys |
62 |
61 |
$17K |
| E0570 |
Nebulizer with compression |
6,186 |
6,130 |
$10K |
| E0601 |
Cont airway pressure device |
682 |
680 |
$8K |
| A7034 |
Nasal application device |
565 |
558 |
$8K |
| A7038 |
Pos airway pressure filter |
1,288 |
1,262 |
$4K |
| E0562 |
Humidifier heated used w pap |
615 |
615 |
$3K |
| A7037 |
Pos airway pressure tubing |
678 |
663 |
$3K |
| A7035 |
Pos airway press headgear |
327 |
316 |
$2K |
| A7003 |
Nebulizer administration set |
1,593 |
1,519 |
$1K |
| A7032 |
Replacement nasal cushion |
58 |
53 |
$1K |
| A7030 |
Cpap full face mask |
25 |
25 |
$418.13 |
| A7005 |
Nondisposable nebulizer set |
114 |
110 |
$395.63 |
| A7031 |
Replacement facemask interfa |
17 |
16 |
$287.13 |
| A7046 |
Repl water chamber, pap dev |
106 |
103 |
$193.56 |
| A7015 |
Aerosol mask used w nebulize |
131 |
125 |
$51.82 |
| A7039 |
Filter, non disposable w pap |
24 |
24 |
$18.40 |