| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,802 |
3,686 |
$155K |
| E0466 |
Home vent non-invasive inter |
284 |
137 |
$70K |
| K0738 |
Portable gas oxygen system |
2,175 |
1,024 |
$12K |
| E0601 |
Cont airway pressure device |
616 |
365 |
$8K |
| E1392 |
Portable oxygen concentrator |
936 |
492 |
$7K |
| A7031 |
Replacement facemask interfa |
214 |
201 |
$5K |
| A7032 |
Replacement nasal cushion |
88 |
87 |
$3K |
| A7038 |
Pos airway pressure filter |
427 |
395 |
$1K |
| A7034 |
Nasal application device |
31 |
31 |
$891.20 |
| A7035 |
Pos airway press headgear |
81 |
77 |
$620.10 |
| A7030 |
Cpap full face mask |
15 |
14 |
$527.04 |
| E0570 |
Nebulizer with compression |
24 |
13 |
$184.52 |
| E0431 |
Portable gaseous 02 |
30 |
12 |
$102.73 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$36.33 |