| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,849 |
10,073 |
$576K |
| E0431 |
Portable gaseous 02 |
8,054 |
5,687 |
$72K |
| E0466 |
Home vent non-invasive inter |
168 |
101 |
$36K |
| A7031 |
Replacement facemask interfa |
565 |
423 |
$19K |
| A7030 |
Cpap full face mask |
237 |
190 |
$16K |
| E0601 |
Cont airway pressure device |
544 |
424 |
$14K |
| A7038 |
Pos airway pressure filter |
2,062 |
1,596 |
$8K |
| A7037 |
Pos airway pressure tubing |
707 |
488 |
$6K |
| E0562 |
Humidifier heated used w pap |
604 |
427 |
$5K |
| E0570 |
Nebulizer with compression |
581 |
430 |
$3K |
| A7035 |
Pos airway press headgear |
177 |
134 |
$2K |
| A7034 |
Nasal application device |
43 |
37 |
$2K |
| E1392 |
Portable oxygen concentrator |
489 |
450 |
$1K |
| A7032 |
Replacement nasal cushion |
29 |
27 |
$740.48 |
| A7046 |
Repl water chamber, pap dev |
49 |
41 |
$228.38 |
| A7003 |
Nebulizer administration set |
156 |
149 |
$122.79 |