| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,591 |
7,540 |
$393K |
| E0431 |
Portable gaseous 02 |
3,731 |
3,701 |
$42K |
| E0601 |
Cont airway pressure device |
1,224 |
1,218 |
$42K |
| E0562 |
Humidifier heated used w pap |
1,497 |
1,487 |
$14K |
| E0570 |
Nebulizer with compression |
2,057 |
2,046 |
$14K |
| A7031 |
Replacement facemask interfa |
394 |
391 |
$11K |
| A7030 |
Cpap full face mask |
223 |
220 |
$9K |
| A7038 |
Pos airway pressure filter |
1,072 |
1,061 |
$5K |
| A7035 |
Pos airway press headgear |
252 |
251 |
$2K |
| A7037 |
Pos airway pressure tubing |
77 |
77 |
$829.56 |
| A7046 |
Repl water chamber, pap dev |
197 |
196 |
$708.08 |
| A4604 |
Tubing with heating element |
68 |
66 |
$600.51 |
| A7003 |
Nebulizer administration set |
212 |
206 |
$197.82 |
| A7005 |
Nondisposable nebulizer set |
24 |
24 |
$179.62 |