| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,260 |
8,534 |
$306K |
| E0431 |
Portable gaseous 02 |
8,260 |
5,963 |
$46K |
| A7031 |
Replacement facemask interfa |
760 |
557 |
$14K |
| E0601 |
Cont airway pressure device |
653 |
477 |
$9K |
| E0570 |
Nebulizer with compression |
2,058 |
1,565 |
$7K |
| A7030 |
Cpap full face mask |
261 |
178 |
$6K |
| A7038 |
Pos airway pressure filter |
2,180 |
1,631 |
$5K |
| E0562 |
Humidifier heated used w pap |
191 |
167 |
$3K |
| A7035 |
Pos airway press headgear |
286 |
217 |
$3K |
| A7037 |
Pos airway pressure tubing |
172 |
125 |
$865.82 |
| A4604 |
Tubing with heating element |
54 |
41 |
$704.82 |
| E1392 |
Portable oxygen concentrator |
238 |
150 |
$648.76 |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$439.30 |
| A7046 |
Repl water chamber, pap dev |
69 |
63 |
$432.85 |
| A7034 |
Nasal application device |
13 |
13 |
$392.68 |