| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
9,199 |
5,402 |
$1.62M |
| E1390 |
Oxygen concentrator |
22,891 |
15,198 |
$557K |
| E0601 |
Cont airway pressure device |
9,385 |
6,942 |
$197K |
| A7030 |
Cpap full face mask |
4,370 |
2,493 |
$116K |
| K0738 |
Portable gas oxygen system |
5,874 |
4,088 |
$74K |
| E1392 |
Portable oxygen concentrator |
8,585 |
5,741 |
$60K |
| E0562 |
Humidifier heated used w pap |
4,164 |
3,385 |
$53K |
| A7034 |
Nasal application device |
2,998 |
1,720 |
$52K |
| A7031 |
Replacement facemask interfa |
3,961 |
2,217 |
$46K |
| A7035 |
Pos airway press headgear |
4,962 |
2,885 |
$28K |
| A7032 |
Replacement nasal cushion |
1,593 |
920 |
$23K |
| A7037 |
Pos airway pressure tubing |
5,345 |
3,080 |
$21K |
| A4604 |
Tubing with heating element |
1,387 |
875 |
$19K |
| E0470 |
Rad w/o backup non-inv intfc |
630 |
382 |
$18K |
| E0431 |
Portable gaseous 02 |
1,954 |
1,375 |
$14K |
| A7038 |
Pos airway pressure filter |
7,345 |
4,324 |
$14K |
| A7046 |
Repl water chamber, pap dev |
3,292 |
1,910 |
$12K |
| E0570 |
Nebulizer with compression |
2,002 |
1,355 |
$10K |
| A7039 |
Filter, non disposable w pap |
41 |
32 |
$127.39 |