| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,602 |
1,526 |
$297K |
| E1390 |
Oxygen concentrator |
17,027 |
10,584 |
$215K |
| E0601 |
Cont airway pressure device |
3,511 |
2,881 |
$50K |
| A7030 |
Cpap full face mask |
1,413 |
859 |
$34K |
| E0431 |
Portable gaseous 02 |
2,233 |
1,785 |
$32K |
| E1392 |
Portable oxygen concentrator |
6,541 |
4,493 |
$28K |
| K0738 |
Portable gas oxygen system |
1,624 |
1,049 |
$11K |
| A7031 |
Replacement facemask interfa |
1,082 |
612 |
$10K |
| A7037 |
Pos airway pressure tubing |
2,163 |
1,386 |
$9K |
| A7035 |
Pos airway press headgear |
1,672 |
1,021 |
$9K |
| E0570 |
Nebulizer with compression |
1,351 |
1,213 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
306 |
180 |
$8K |
| A7034 |
Nasal application device |
550 |
278 |
$5K |
| A7038 |
Pos airway pressure filter |
2,981 |
1,756 |
$5K |
| A7046 |
Repl water chamber, pap dev |
567 |
317 |
$2K |
| A7032 |
Replacement nasal cushion |
111 |
53 |
$803.05 |
| E0562 |
Humidifier heated used w pap |
21 |
13 |
$582.13 |
| E0260 |
Hosp bed semi-electr w/ matt |
41 |
25 |
$237.68 |