| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,798 |
1,777 |
$505K |
| E1390 |
Oxygen concentrator |
19,315 |
13,658 |
$433K |
| E0601 |
Cont airway pressure device |
6,686 |
5,161 |
$125K |
| A7030 |
Cpap full face mask |
3,056 |
1,888 |
$66K |
| A7034 |
Nasal application device |
3,364 |
2,093 |
$54K |
| K0738 |
Portable gas oxygen system |
6,052 |
4,249 |
$51K |
| E1392 |
Portable oxygen concentrator |
3,794 |
2,932 |
$38K |
| E0562 |
Humidifier heated used w pap |
1,932 |
1,558 |
$32K |
| A7031 |
Replacement facemask interfa |
2,802 |
1,702 |
$32K |
| A7032 |
Replacement nasal cushion |
1,785 |
1,068 |
$29K |
| A4604 |
Tubing with heating element |
2,834 |
1,819 |
$28K |
| A7035 |
Pos airway press headgear |
3,997 |
2,517 |
$20K |
| E0470 |
Rad w/o backup non-inv intfc |
685 |
410 |
$17K |
| E0431 |
Portable gaseous 02 |
2,500 |
1,884 |
$15K |
| A7046 |
Repl water chamber, pap dev |
2,969 |
1,848 |
$14K |
| A7038 |
Pos airway pressure filter |
6,339 |
4,046 |
$13K |
| A7037 |
Pos airway pressure tubing |
3,297 |
2,050 |
$13K |
| E0570 |
Nebulizer with compression |
1,704 |
1,216 |
$8K |
| A7526 |
Tracheostomy tube collar |
191 |
124 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
369 |
273 |
$3K |
| A7033 |
Replacement nasal pillows |
322 |
213 |
$3K |
| A7005 |
Nondisposable nebulizer set |
17 |
13 |
$132.46 |
| A7003 |
Nebulizer administration set |
22 |
15 |
$14.37 |