| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,827 |
5,716 |
$285K |
| E0431 |
Portable gaseous 02 |
4,017 |
3,927 |
$43K |
| A7031 |
Replacement facemask interfa |
674 |
621 |
$22K |
| E0466 |
Home vent non-invasive inter |
37 |
37 |
$9K |
| A7037 |
Pos airway pressure tubing |
411 |
396 |
$5K |
| A7038 |
Pos airway pressure filter |
1,223 |
1,148 |
$5K |
| A7030 |
Cpap full face mask |
53 |
53 |
$4K |
| E0601 |
Cont airway pressure device |
126 |
125 |
$4K |
| E0562 |
Humidifier heated used w pap |
184 |
182 |
$2K |
| E0570 |
Nebulizer with compression |
719 |
718 |
$1K |
| A7003 |
Nebulizer administration set |
439 |
412 |
$435.41 |
| A7035 |
Pos airway press headgear |
28 |
28 |
$409.62 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$86.80 |
| E1392 |
Portable oxygen concentrator |
24 |
24 |
$0.00 |