| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,419 |
1,079 |
$328K |
| E1390 |
Oxygen concentrator |
9,784 |
6,548 |
$139K |
| E0601 |
Cont airway pressure device |
3,833 |
3,084 |
$71K |
| A7030 |
Cpap full face mask |
1,280 |
932 |
$42K |
| A7034 |
Nasal application device |
1,882 |
1,374 |
$35K |
| E0431 |
Portable gaseous 02 |
1,833 |
1,198 |
$17K |
| E0562 |
Humidifier heated used w pap |
485 |
379 |
$15K |
| A7035 |
Pos airway press headgear |
2,336 |
1,709 |
$15K |
| A7031 |
Replacement facemask interfa |
1,034 |
717 |
$14K |
| A7037 |
Pos airway pressure tubing |
2,689 |
2,018 |
$13K |
| K0738 |
Portable gas oxygen system |
2,047 |
1,689 |
$12K |
| E1392 |
Portable oxygen concentrator |
1,437 |
1,105 |
$11K |
| A7038 |
Pos airway pressure filter |
3,478 |
2,529 |
$7K |
| A7032 |
Replacement nasal cushion |
469 |
300 |
$5K |
| A7046 |
Repl water chamber, pap dev |
1,196 |
901 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
166 |
120 |
$4K |
| E0570 |
Nebulizer with compression |
606 |
516 |
$2K |
| A4604 |
Tubing with heating element |
45 |
27 |
$190.57 |
| A7033 |
Replacement nasal pillows |
16 |
12 |
$152.22 |
| E0260 |
Hosp bed semi-electr w/ matt |
18 |
13 |
$76.42 |