| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,215 |
9,201 |
$354K |
| E0431 |
Portable gaseous 02 |
4,973 |
4,493 |
$149K |
| E0601 |
Cont airway pressure device |
2,579 |
2,329 |
$51K |
| A7030 |
Cpap full face mask |
752 |
666 |
$34K |
| A7031 |
Replacement facemask interfa |
1,071 |
866 |
$23K |
| A4604 |
Tubing with heating element |
1,317 |
1,197 |
$15K |
| A7035 |
Pos airway press headgear |
864 |
770 |
$10K |
| A7038 |
Pos airway pressure filter |
2,354 |
1,943 |
$10K |
| A7034 |
Nasal application device |
228 |
201 |
$7K |
| E1392 |
Portable oxygen concentrator |
399 |
383 |
$3K |
| A7032 |
Replacement nasal cushion |
114 |
93 |
$3K |
| E0570 |
Nebulizer with compression |
411 |
382 |
$2K |
| A7046 |
Repl water chamber, pap dev |
346 |
310 |
$2K |
| K0001 |
Standard wheelchair |
198 |
168 |
$2K |
| E0443 |
Portable 02 contents, gas |
12 |
12 |
$494.53 |
| A7037 |
Pos airway pressure tubing |
18 |
14 |
$297.22 |