| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,166 |
6,773 |
$390K |
| E0466 |
Home vent non-invasive inter |
452 |
273 |
$137K |
| E0601 |
Cont airway pressure device |
2,919 |
1,732 |
$67K |
| A7030 |
Cpap full face mask |
1,418 |
894 |
$51K |
| E0431 |
Portable gaseous 02 |
7,580 |
4,518 |
$48K |
| A7031 |
Replacement facemask interfa |
1,999 |
1,248 |
$40K |
| E0562 |
Humidifier heated used w pap |
3,239 |
1,955 |
$21K |
| A7038 |
Pos airway pressure filter |
4,247 |
2,822 |
$12K |
| A7035 |
Pos airway press headgear |
1,118 |
724 |
$10K |
| A7037 |
Pos airway pressure tubing |
671 |
444 |
$8K |
| E1392 |
Portable oxygen concentrator |
585 |
367 |
$7K |
| E0570 |
Nebulizer with compression |
1,761 |
1,152 |
$5K |
| A7034 |
Nasal application device |
159 |
113 |
$5K |
| A4604 |
Tubing with heating element |
710 |
460 |
$4K |
| A7046 |
Repl water chamber, pap dev |
335 |
217 |
$1K |