| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,735 |
1,433 |
$13K |
| E0601 |
Cont airway pressure device |
1,631 |
1,244 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,024 |
797 |
$3K |
| A7038 |
Pos airway pressure filter |
1,011 |
801 |
$2K |
| E0562 |
Humidifier heated used w pap |
682 |
465 |
$2K |
| E0431 |
Portable gaseous 02 |
1,165 |
943 |
$2K |
| E0570 |
Nebulizer with compression |
202 |
118 |
$1K |
| A7035 |
Pos airway press headgear |
223 |
175 |
$829.44 |
| A7030 |
Cpap full face mask |
68 |
50 |
$417.89 |
| A7039 |
Filter, non disposable w pap |
172 |
132 |
$190.26 |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$145.15 |
| A9279 |
Monitoring feature/devicenoc |
336 |
253 |
$14.58 |