| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
7,256 |
4,320 |
$1.30M |
| E1390 |
Oxygen concentrator |
28,096 |
18,430 |
$643K |
| E0601 |
Cont airway pressure device |
6,729 |
5,054 |
$141K |
| A7030 |
Cpap full face mask |
3,548 |
1,979 |
$88K |
| K0738 |
Portable gas oxygen system |
8,959 |
5,854 |
$80K |
| E1392 |
Portable oxygen concentrator |
7,296 |
4,873 |
$48K |
| A7034 |
Nasal application device |
2,173 |
1,277 |
$39K |
| A7031 |
Replacement facemask interfa |
3,267 |
1,796 |
$39K |
| E0562 |
Humidifier heated used w pap |
2,041 |
1,574 |
$32K |
| E0470 |
Rad w/o backup non-inv intfc |
875 |
545 |
$27K |
| A7035 |
Pos airway press headgear |
3,820 |
2,242 |
$21K |
| E0431 |
Portable gaseous 02 |
2,837 |
1,995 |
$20K |
| A7037 |
Pos airway pressure tubing |
4,164 |
2,387 |
$17K |
| E0570 |
Nebulizer with compression |
2,407 |
1,534 |
$15K |
| A7046 |
Repl water chamber, pap dev |
2,596 |
1,529 |
$13K |
| A7038 |
Pos airway pressure filter |
6,154 |
3,592 |
$13K |
| A4604 |
Tubing with heating element |
879 |
571 |
$12K |
| A7032 |
Replacement nasal cushion |
567 |
347 |
$8K |
| E0439 |
Stationary liquid 02 |
38 |
25 |
$2K |
| A7526 |
Tracheostomy tube collar |
46 |
28 |
$2K |
| A7000 |
Disposable canister for pump |
134 |
94 |
$1K |
| A4624 |
Tracheal suction tube |
30 |
12 |
$1K |
| E0434 |
Portable liquid 02 |
106 |
67 |
$599.34 |
| E0600 |
Suction pump portab hom modl |
16 |
12 |
$524.66 |
| E0424 |
Stationary compressed gas 02 |
20 |
13 |
$336.91 |
| A7003 |
Nebulizer administration set |
36 |
24 |
$12.78 |