| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,033 |
4,167 |
$144K |
| E0431 |
Portable gaseous 02 |
2,558 |
2,087 |
$15K |
| A7031 |
Replacement facemask interfa |
544 |
504 |
$15K |
| A7030 |
Cpap full face mask |
182 |
167 |
$8K |
| E0562 |
Humidifier heated used w pap |
416 |
374 |
$4K |
| A7038 |
Pos airway pressure filter |
1,504 |
1,331 |
$4K |
| A4604 |
Tubing with heating element |
58 |
50 |
$954.77 |
| A7035 |
Pos airway press headgear |
81 |
72 |
$675.08 |
| A7037 |
Pos airway pressure tubing |
96 |
84 |
$657.60 |
| E0601 |
Cont airway pressure device |
13 |
12 |
$363.63 |
| A7046 |
Repl water chamber, pap dev |
15 |
13 |
$50.84 |