| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,340 |
1,961 |
$41K |
| E0601 |
Cont airway pressure device |
1,282 |
1,119 |
$18K |
| A7030 |
Cpap full face mask |
135 |
120 |
$7K |
| E0431 |
Portable gaseous 02 |
632 |
520 |
$5K |
| E1392 |
Portable oxygen concentrator |
719 |
589 |
$3K |
| A7038 |
Pos airway pressure filter |
745 |
622 |
$2K |
| A7035 |
Pos airway press headgear |
213 |
175 |
$2K |
| K0738 |
Portable gas oxygen system |
65 |
60 |
$689.31 |
| A7031 |
Replacement facemask interfa |
49 |
38 |
$634.85 |
| A7037 |
Pos airway pressure tubing |
15 |
14 |
$141.40 |
| A7046 |
Repl water chamber, pap dev |
17 |
14 |
$89.33 |