| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,388 |
7,445 |
$668K |
| E1392 |
Portable oxygen concentrator |
2,155 |
1,955 |
$42K |
| E0431 |
Portable gaseous 02 |
2,322 |
2,031 |
$33K |
| A7030 |
Cpap full face mask |
506 |
462 |
$28K |
| E0601 |
Cont airway pressure device |
407 |
365 |
$20K |
| E0441 |
Stationary o2 contents, gas |
380 |
289 |
$17K |
| A7031 |
Replacement facemask interfa |
613 |
556 |
$16K |
| E0434 |
Portable liquid 02 |
331 |
236 |
$8K |
| E0442 |
Stationary o2 contents, liq |
195 |
145 |
$7K |
| A4604 |
Tubing with heating element |
328 |
291 |
$6K |
| E0570 |
Nebulizer with compression |
471 |
455 |
$5K |
| A7038 |
Pos airway pressure filter |
1,372 |
1,206 |
$5K |
| A7035 |
Pos airway press headgear |
346 |
329 |
$5K |
| A7034 |
Nasal application device |
71 |
63 |
$3K |
| A7046 |
Repl water chamber, pap dev |
115 |
107 |
$1K |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$186.84 |