| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,909 |
1,847 |
$605K |
| E1390 |
Oxygen concentrator |
8,975 |
8,631 |
$405K |
| K0738 |
Portable gas oxygen system |
3,693 |
3,557 |
$94K |
| E0601 |
Cont airway pressure device |
2,748 |
2,694 |
$78K |
| E0431 |
Portable gaseous 02 |
2,567 |
2,438 |
$36K |
| A7030 |
Cpap full face mask |
368 |
345 |
$18K |
| A7037 |
Pos airway pressure tubing |
661 |
614 |
$7K |
| A7035 |
Pos airway press headgear |
536 |
502 |
$6K |
| A7038 |
Pos airway pressure filter |
1,138 |
1,015 |
$4K |
| E0562 |
Humidifier heated used w pap |
29 |
28 |
$3K |
| A7031 |
Replacement facemask interfa |
127 |
118 |
$2K |
| A7034 |
Nasal application device |
57 |
53 |
$2K |
| E1392 |
Portable oxygen concentrator |
1,211 |
1,175 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$887.73 |
| A7046 |
Repl water chamber, pap dev |
54 |
44 |
$241.51 |