| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,909 |
1,768 |
$174K |
| E0601 |
Cont airway pressure device |
2,177 |
2,014 |
$141K |
| A7030 |
Cpap full face mask |
676 |
631 |
$68K |
| E0570 |
Nebulizer with compression |
1,295 |
1,210 |
$68K |
| A7031 |
Replacement facemask interfa |
1,449 |
1,363 |
$61K |
| E0562 |
Humidifier heated used w pap |
1,045 |
944 |
$46K |
| A7038 |
Pos airway pressure filter |
2,299 |
2,152 |
$16K |
| A7035 |
Pos airway press headgear |
716 |
665 |
$16K |
| A7005 |
Nondisposable nebulizer set |
240 |
231 |
$6K |
| A7046 |
Repl water chamber, pap dev |
144 |
137 |
$2K |
| A7034 |
Nasal application device |
26 |
26 |
$1K |
| A4604 |
Tubing with heating element |
467 |
442 |
$1K |
| E1392 |
Portable oxygen concentrator |
367 |
335 |
$1K |
| A7037 |
Pos airway pressure tubing |
169 |
158 |
$703.85 |