| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,971 |
9,903 |
$407K |
| E0431 |
Portable gaseous 02 |
6,122 |
5,556 |
$241K |
| E0601 |
Cont airway pressure device |
4,044 |
3,592 |
$93K |
| A7030 |
Cpap full face mask |
1,086 |
941 |
$57K |
| E0562 |
Humidifier heated used w pap |
2,624 |
2,407 |
$52K |
| E0443 |
Portable 02 contents, gas |
981 |
802 |
$24K |
| A7034 |
Nasal application device |
232 |
201 |
$7K |
| A7038 |
Pos airway pressure filter |
1,903 |
1,629 |
$7K |
| E0603 |
Electric breast pump |
44 |
44 |
$6K |
| A7035 |
Pos airway press headgear |
1,464 |
1,285 |
$4K |
| K0738 |
Portable gas oxygen system |
622 |
550 |
$4K |
| E0570 |
Nebulizer with compression |
102 |
93 |
$4K |
| E0445 |
Oximeter non-invasive |
23 |
15 |
$4K |
| A7031 |
Replacement facemask interfa |
1,033 |
884 |
$3K |
| A7037 |
Pos airway pressure tubing |
798 |
718 |
$3K |
| A7046 |
Repl water chamber, pap dev |
222 |
190 |
$358.37 |
| A4604 |
Tubing with heating element |
129 |
117 |
$347.35 |
| A7032 |
Replacement nasal cushion |
14 |
12 |
$15.47 |