| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,537 |
5,254 |
$259K |
| E0441 |
Stationary o2 contents, gas |
1,773 |
1,670 |
$80K |
| E0431 |
Portable gaseous 02 |
2,975 |
2,820 |
$34K |
| E0601 |
Cont airway pressure device |
449 |
410 |
$23K |
| A7035 |
Pos airway press headgear |
541 |
528 |
$11K |
| A7034 |
Nasal application device |
238 |
229 |
$10K |
| A7030 |
Cpap full face mask |
107 |
102 |
$8K |
| E0562 |
Humidifier heated used w pap |
42 |
39 |
$5K |
| A7031 |
Replacement facemask interfa |
152 |
138 |
$5K |
| A7046 |
Repl water chamber, pap dev |
380 |
366 |
$4K |
| A7038 |
Pos airway pressure filter |
1,348 |
1,295 |
$4K |
| A4604 |
Tubing with heating element |
161 |
150 |
$3K |
| E1392 |
Portable oxygen concentrator |
350 |
329 |
$3K |
| A7037 |
Pos airway pressure tubing |
54 |
54 |
$886.75 |