| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,232 |
10,521 |
$951K |
| E0601 |
Cont airway pressure device |
1,337 |
1,093 |
$89K |
| E0424 |
Stationary compressed gas 02 |
670 |
637 |
$65K |
| A7030 |
Cpap full face mask |
662 |
565 |
$52K |
| E0431 |
Portable gaseous 02 |
3,417 |
3,050 |
$52K |
| K0738 |
Portable gas oxygen system |
1,990 |
1,631 |
$43K |
| A7034 |
Nasal application device |
805 |
666 |
$28K |
| A7031 |
Replacement facemask interfa |
723 |
606 |
$26K |
| E1392 |
Portable oxygen concentrator |
1,254 |
1,041 |
$22K |
| A4604 |
Tubing with heating element |
673 |
579 |
$17K |
| A7035 |
Pos airway press headgear |
956 |
805 |
$16K |
| E0562 |
Humidifier heated used w pap |
95 |
79 |
$14K |
| A7037 |
Pos airway pressure tubing |
719 |
609 |
$12K |
| E0570 |
Nebulizer with compression |
578 |
527 |
$12K |
| A7038 |
Pos airway pressure filter |
2,087 |
1,440 |
$11K |
| A7033 |
Replacement nasal pillows |
290 |
197 |
$8K |
| A7039 |
Filter, non disposable w pap |
858 |
718 |
$5K |
| A7032 |
Replacement nasal cushion |
105 |
89 |
$3K |
| E0434 |
Portable liquid 02 |
171 |
136 |
$3K |
| A7046 |
Repl water chamber, pap dev |
224 |
196 |
$2K |
| A7005 |
Nondisposable nebulizer set |
27 |
24 |
$293.80 |