| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,476 |
4,286 |
$136K |
| E0601 |
Cont airway pressure device |
635 |
612 |
$32K |
| A7031 |
Replacement facemask interfa |
612 |
603 |
$26K |
| A7030 |
Cpap full face mask |
255 |
247 |
$25K |
| E0562 |
Humidifier heated used w pap |
915 |
887 |
$15K |
| E0470 |
Rad w/o backup non-inv intfc |
122 |
119 |
$15K |
| E0431 |
Portable gaseous 02 |
2,450 |
2,369 |
$14K |
| A4604 |
Tubing with heating element |
260 |
253 |
$11K |
| A7038 |
Pos airway pressure filter |
895 |
862 |
$5K |
| A7035 |
Pos airway press headgear |
117 |
111 |
$2K |
| A7046 |
Repl water chamber, pap dev |
51 |
49 |
$627.71 |
| E0570 |
Nebulizer with compression |
75 |
55 |
$231.31 |