| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,260 |
5,195 |
$237K |
| E0466 |
Home vent non-invasive inter |
188 |
187 |
$69K |
| E0601 |
Cont airway pressure device |
966 |
959 |
$31K |
| E0431 |
Portable gaseous 02 |
2,329 |
2,288 |
$24K |
| E0562 |
Humidifier heated used w pap |
1,203 |
1,198 |
$11K |
| E1392 |
Portable oxygen concentrator |
850 |
844 |
$4K |
| E0570 |
Nebulizer with compression |
609 |
600 |
$3K |
| A7031 |
Replacement facemask interfa |
55 |
54 |
$2K |
| A7038 |
Pos airway pressure filter |
472 |
462 |
$2K |
| A7003 |
Nebulizer administration set |
170 |
155 |
$182.83 |
| A7037 |
Pos airway pressure tubing |
26 |
25 |
$113.42 |
| A7035 |
Pos airway press headgear |
12 |
12 |
$64.26 |