| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,848 |
6,831 |
$219K |
| A7031 |
Replacement facemask interfa |
1,305 |
1,293 |
$34K |
| A7030 |
Cpap full face mask |
837 |
832 |
$27K |
| E0431 |
Portable gaseous 02 |
3,666 |
3,657 |
$26K |
| E0601 |
Cont airway pressure device |
381 |
381 |
$8K |
| E1392 |
Portable oxygen concentrator |
524 |
522 |
$6K |
| E0570 |
Nebulizer with compression |
1,305 |
1,300 |
$4K |
| E0562 |
Humidifier heated used w pap |
971 |
968 |
$4K |
| A7038 |
Pos airway pressure filter |
2,107 |
2,084 |
$3K |
| A7037 |
Pos airway pressure tubing |
1,009 |
1,007 |
$3K |
| B4035 |
Enteral feed supp pump per d |
32 |
28 |
$3K |
| A7035 |
Pos airway press headgear |
539 |
535 |
$2K |
| A7046 |
Repl water chamber, pap dev |
218 |
217 |
$339.19 |
| A7003 |
Nebulizer administration set |
335 |
314 |
$335.06 |
| A7034 |
Nasal application device |
13 |
13 |
$166.23 |