| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,863 |
9,431 |
$781K |
| E0601 |
Cont airway pressure device |
1,794 |
1,540 |
$113K |
| E0431 |
Portable gaseous 02 |
6,674 |
6,357 |
$98K |
| E0562 |
Humidifier heated used w pap |
607 |
467 |
$28K |
| A7030 |
Cpap full face mask |
322 |
288 |
$18K |
| A7035 |
Pos airway press headgear |
454 |
425 |
$7K |
| A4604 |
Tubing with heating element |
271 |
239 |
$7K |
| A7038 |
Pos airway pressure filter |
1,362 |
1,238 |
$6K |
| A7037 |
Pos airway pressure tubing |
260 |
239 |
$4K |
| A7034 |
Nasal application device |
87 |
79 |
$4K |
| E0570 |
Nebulizer with compression |
154 |
139 |
$2K |
| E1392 |
Portable oxygen concentrator |
81 |
74 |
$2K |
| A7031 |
Replacement facemask interfa |
110 |
94 |
$2K |
| A7046 |
Repl water chamber, pap dev |
16 |
15 |
$131.65 |