| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,059 |
2,135 |
$52K |
| E0601 |
Cont airway pressure device |
459 |
308 |
$6K |
| E0431 |
Portable gaseous 02 |
1,769 |
1,172 |
$6K |
| A7031 |
Replacement facemask interfa |
428 |
323 |
$6K |
| A7030 |
Cpap full face mask |
213 |
154 |
$5K |
| A4604 |
Tubing with heating element |
431 |
290 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
140 |
85 |
$4K |
| E1392 |
Portable oxygen concentrator |
503 |
356 |
$2K |
| A7038 |
Pos airway pressure filter |
949 |
677 |
$2K |
| E0562 |
Humidifier heated used w pap |
83 |
70 |
$1K |
| E0570 |
Nebulizer with compression |
321 |
216 |
$644.07 |
| A7046 |
Repl water chamber, pap dev |
56 |
36 |
$205.18 |
| A7035 |
Pos airway press headgear |
50 |
37 |
$198.09 |
| K0001 |
Standard wheelchair |
29 |
25 |
$85.73 |