| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
17,611 |
16,282 |
$1.08M |
| E0466 |
Home vent non-invasive inter |
928 |
825 |
$444K |
| E0431 |
Portable gaseous 02 |
10,457 |
9,640 |
$103K |
| A7031 |
Replacement facemask interfa |
1,627 |
1,510 |
$62K |
| A7030 |
Cpap full face mask |
1,012 |
936 |
$45K |
| E0443 |
Portable 02 contents, gas |
1,737 |
1,565 |
$35K |
| E0601 |
Cont airway pressure device |
1,583 |
1,484 |
$33K |
| E0570 |
Nebulizer with compression |
3,184 |
3,036 |
$20K |
| A7037 |
Pos airway pressure tubing |
980 |
908 |
$10K |
| A7038 |
Pos airway pressure filter |
2,111 |
1,976 |
$9K |
| E1392 |
Portable oxygen concentrator |
766 |
676 |
$8K |
| A7035 |
Pos airway press headgear |
593 |
546 |
$7K |
| E0562 |
Humidifier heated used w pap |
690 |
633 |
$2K |
| A7046 |
Repl water chamber, pap dev |
210 |
188 |
$1K |
| A7003 |
Nebulizer administration set |
566 |
493 |
$953.68 |
| A7004 |
Disposable nebulizer sml vol |
71 |
70 |
$110.27 |