| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,193 |
4,880 |
$471K |
| E0601 |
Cont airway pressure device |
3,414 |
3,114 |
$224K |
| E0562 |
Humidifier heated used w pap |
2,004 |
1,828 |
$68K |
| E0431 |
Portable gaseous 02 |
2,809 |
2,674 |
$48K |
| A7030 |
Cpap full face mask |
447 |
428 |
$46K |
| E0570 |
Nebulizer with compression |
1,398 |
1,298 |
$31K |
| A7035 |
Pos airway press headgear |
887 |
855 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
125 |
116 |
$16K |
| A7031 |
Replacement facemask interfa |
286 |
278 |
$13K |
| A7038 |
Pos airway pressure filter |
2,298 |
2,240 |
$8K |
| A7034 |
Nasal application device |
178 |
172 |
$6K |
| K0738 |
Portable gas oxygen system |
179 |
174 |
$4K |
| A7037 |
Pos airway pressure tubing |
589 |
571 |
$2K |
| A7046 |
Repl water chamber, pap dev |
109 |
106 |
$1K |
| A4604 |
Tubing with heating element |
108 |
106 |
$116.77 |