| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,100 |
3,484 |
$155K |
| E0601 |
Cont airway pressure device |
1,819 |
1,717 |
$96K |
| A7034 |
Nasal application device |
916 |
798 |
$36K |
| K0738 |
Portable gas oxygen system |
1,301 |
1,179 |
$24K |
| A4604 |
Tubing with heating element |
903 |
788 |
$22K |
| A7035 |
Pos airway press headgear |
1,293 |
1,131 |
$19K |
| A7038 |
Pos airway pressure filter |
2,182 |
1,913 |
$13K |
| A7030 |
Cpap full face mask |
198 |
169 |
$11K |
| E1392 |
Portable oxygen concentrator |
437 |
388 |
$7K |
| K0001 |
Standard wheelchair |
331 |
310 |
$6K |
| A7046 |
Repl water chamber, pap dev |
407 |
366 |
$3K |
| A7037 |
Pos airway pressure tubing |
320 |
275 |
$3K |
| A7032 |
Replacement nasal cushion |
75 |
70 |
$2K |
| A7031 |
Replacement facemask interfa |
81 |
66 |
$2K |
| E0562 |
Humidifier heated used w pap |
14 |
14 |
$2K |
| E0431 |
Portable gaseous 02 |
67 |
50 |
$712.49 |
| A7039 |
Filter, non disposable w pap |
33 |
24 |
$137.81 |