| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,890 |
9,079 |
$262K |
| E0466 |
Home vent non-invasive inter |
779 |
688 |
$97K |
| E0431 |
Portable gaseous 02 |
4,630 |
4,250 |
$27K |
| E0601 |
Cont airway pressure device |
1,099 |
864 |
$12K |
| E0562 |
Humidifier heated used w pap |
1,015 |
843 |
$4K |
| E1392 |
Portable oxygen concentrator |
465 |
426 |
$3K |
| A7032 |
Replacement nasal cushion |
197 |
149 |
$2K |
| A7038 |
Pos airway pressure filter |
1,676 |
1,350 |
$2K |
| A7031 |
Replacement facemask interfa |
432 |
320 |
$681.98 |
| E0570 |
Nebulizer with compression |
210 |
187 |
$602.15 |
| A7037 |
Pos airway pressure tubing |
238 |
192 |
$599.46 |
| A7035 |
Pos airway press headgear |
136 |
106 |
$427.80 |
| Q0513 |
Disp fee inhal drugs/30 days |
89 |
77 |
$354.06 |
| A7030 |
Cpap full face mask |
61 |
41 |
$59.18 |
| A7046 |
Repl water chamber, pap dev |
16 |
12 |
$13.83 |
| A7034 |
Nasal application device |
15 |
13 |
$12.87 |
| A7003 |
Nebulizer administration set |
84 |
80 |
$6.84 |