| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,506 |
12,444 |
$363K |
| E1392 |
Portable oxygen concentrator |
8,532 |
8,485 |
$145K |
| E0466 |
Home vent non-invasive inter |
681 |
676 |
$111K |
| E0601 |
Cont airway pressure device |
1,266 |
1,264 |
$27K |
| E0431 |
Portable gaseous 02 |
3,211 |
3,193 |
$24K |
| E0562 |
Humidifier heated used w pap |
1,268 |
1,267 |
$9K |
| E0570 |
Nebulizer with compression |
3,092 |
3,092 |
$7K |
| A7034 |
Nasal application device |
171 |
170 |
$4K |
| A7031 |
Replacement facemask interfa |
143 |
141 |
$3K |
| A7035 |
Pos airway press headgear |
317 |
316 |
$3K |
| A7038 |
Pos airway pressure filter |
1,464 |
1,451 |
$3K |
| A7037 |
Pos airway pressure tubing |
534 |
534 |
$3K |
| A7030 |
Cpap full face mask |
86 |
86 |
$2K |
| A7032 |
Replacement nasal cushion |
26 |
24 |
$429.20 |