| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
43,182 |
26,510 |
$1.16M |
| E1392 |
Portable oxygen concentrator |
13,809 |
8,622 |
$122K |
| E0466 |
Home vent non-invasive inter |
890 |
446 |
$113K |
| A7030 |
Cpap full face mask |
3,278 |
2,077 |
$98K |
| E0601 |
Cont airway pressure device |
4,322 |
2,661 |
$82K |
| A7031 |
Replacement facemask interfa |
4,111 |
2,560 |
$65K |
| E0431 |
Portable gaseous 02 |
11,642 |
7,142 |
$49K |
| E0570 |
Nebulizer with compression |
6,242 |
4,247 |
$35K |
| E0562 |
Humidifier heated used w pap |
4,645 |
2,861 |
$27K |
| A7037 |
Pos airway pressure tubing |
4,074 |
2,622 |
$23K |
| A7034 |
Nasal application device |
1,473 |
909 |
$22K |
| A7035 |
Pos airway press headgear |
3,041 |
1,975 |
$21K |
| A7038 |
Pos airway pressure filter |
7,476 |
5,027 |
$17K |
| A7033 |
Replacement nasal pillows |
670 |
392 |
$4K |
| A7005 |
Nondisposable nebulizer set |
792 |
557 |
$4K |
| A4604 |
Tubing with heating element |
264 |
205 |
$3K |
| A7046 |
Repl water chamber, pap dev |
1,761 |
1,126 |
$3K |
| A7032 |
Replacement nasal cushion |
50 |
26 |
$834.86 |
| A7003 |
Nebulizer administration set |
1,995 |
1,442 |
$573.33 |
| E0443 |
Portable 02 contents, gas |
100 |
61 |
$336.80 |
| A7013 |
Disposable compressor filter |
114 |
95 |
$39.65 |
| A7015 |
Aerosol mask used w nebulize |
42 |
27 |
$16.61 |