| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,637 |
9,127 |
$597K |
| E0466 |
Home vent non-invasive inter |
335 |
313 |
$89K |
| E0431 |
Portable gaseous 02 |
4,548 |
4,304 |
$56K |
| E1392 |
Portable oxygen concentrator |
2,491 |
2,321 |
$35K |
| E0601 |
Cont airway pressure device |
492 |
477 |
$16K |
| E0570 |
Nebulizer with compression |
2,495 |
2,466 |
$10K |
| E0562 |
Humidifier heated used w pap |
487 |
463 |
$7K |
| A7030 |
Cpap full face mask |
97 |
96 |
$4K |
| A7038 |
Pos airway pressure filter |
968 |
927 |
$4K |
| A4604 |
Tubing with heating element |
133 |
128 |
$2K |
| A7031 |
Replacement facemask interfa |
86 |
83 |
$2K |
| A7035 |
Pos airway press headgear |
116 |
114 |
$1K |
| A7034 |
Nasal application device |
28 |
28 |
$700.88 |
| A7037 |
Pos airway pressure tubing |
78 |
78 |
$356.10 |
| A7003 |
Nebulizer administration set |
212 |
195 |
$185.46 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$86.75 |
| A7046 |
Repl water chamber, pap dev |
13 |
13 |
$55.95 |