| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,015 |
15,997 |
$691K |
| E0466 |
Home vent non-invasive inter |
1,972 |
1,972 |
$243K |
| E0431 |
Portable gaseous 02 |
7,381 |
7,367 |
$56K |
| E0601 |
Cont airway pressure device |
834 |
831 |
$24K |
| E0570 |
Nebulizer with compression |
2,756 |
2,753 |
$24K |
| A7030 |
Cpap full face mask |
234 |
232 |
$11K |
| E1392 |
Portable oxygen concentrator |
1,557 |
1,555 |
$11K |
| E0562 |
Humidifier heated used w pap |
761 |
760 |
$8K |
| A7038 |
Pos airway pressure filter |
1,314 |
1,304 |
$4K |
| E0443 |
Portable 02 contents, gas |
293 |
293 |
$2K |
| A7003 |
Nebulizer administration set |
1,994 |
1,884 |
$2K |
| A7035 |
Pos airway press headgear |
187 |
186 |
$2K |
| A7037 |
Pos airway pressure tubing |
191 |
191 |
$2K |
| K0001 |
Standard wheelchair |
114 |
114 |
$1K |
| A7031 |
Replacement facemask interfa |
67 |
67 |
$1K |
| A7005 |
Nondisposable nebulizer set |
221 |
220 |
$775.84 |
| A7034 |
Nasal application device |
12 |
12 |
$341.74 |
| A7015 |
Aerosol mask used w nebulize |
178 |
173 |
$139.15 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$4.00 |