| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
2,515 |
1,835 |
$62K |
| E1390 |
Oxygen concentrator |
1,073 |
669 |
$46K |
| A4604 |
Tubing with heating element |
1,086 |
688 |
$12K |
| E0562 |
Humidifier heated used w pap |
521 |
314 |
$12K |
| A7030 |
Cpap full face mask |
205 |
138 |
$8K |
| A7035 |
Pos airway press headgear |
565 |
358 |
$5K |
| E0431 |
Portable gaseous 02 |
621 |
397 |
$5K |
| A7038 |
Pos airway pressure filter |
1,281 |
819 |
$4K |
| A5512 |
Multi den insert direct form |
43 |
24 |
$1K |
| A5500 |
Diab shoe for density insert |
43 |
24 |
$1K |
| A7031 |
Replacement facemask interfa |
29 |
24 |
$451.63 |
| A7046 |
Repl water chamber, pap dev |
33 |
14 |
$79.38 |