| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,868 |
7,136 |
$266K |
| E0601 |
Cont airway pressure device |
1,648 |
1,587 |
$76K |
| A7030 |
Cpap full face mask |
694 |
664 |
$52K |
| A7031 |
Replacement facemask interfa |
1,375 |
1,330 |
$50K |
| A4604 |
Tubing with heating element |
1,060 |
1,020 |
$33K |
| E0562 |
Humidifier heated used w pap |
2,193 |
2,120 |
$31K |
| A7032 |
Replacement nasal cushion |
505 |
498 |
$22K |
| E0431 |
Portable gaseous 02 |
3,441 |
3,119 |
$20K |
| A7038 |
Pos airway pressure filter |
2,512 |
2,420 |
$12K |
| A7035 |
Pos airway press headgear |
609 |
587 |
$9K |
| A7034 |
Nasal application device |
184 |
177 |
$9K |
| E1392 |
Portable oxygen concentrator |
690 |
632 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
92 |
86 |
$6K |
| A7046 |
Repl water chamber, pap dev |
316 |
305 |
$3K |