| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,197 |
8,249 |
$478K |
| E0431 |
Portable gaseous 02 |
6,625 |
5,749 |
$87K |
| E0466 |
Home vent non-invasive inter |
86 |
73 |
$28K |
| E0570 |
Nebulizer with compression |
1,819 |
1,598 |
$8K |
| A7031 |
Replacement facemask interfa |
155 |
146 |
$7K |
| A7038 |
Pos airway pressure filter |
843 |
780 |
$3K |
| A7030 |
Cpap full face mask |
14 |
13 |
$1K |
| A7037 |
Pos airway pressure tubing |
42 |
40 |
$711.86 |
| A7035 |
Pos airway press headgear |
47 |
40 |
$257.88 |
| E0443 |
Portable 02 contents, gas |
12 |
12 |
$81.07 |
| A7003 |
Nebulizer administration set |
29 |
25 |
$37.34 |