| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,605 |
2,573 |
$185K |
| E0601 |
Cont airway pressure device |
2,180 |
2,173 |
$104K |
| E0570 |
Nebulizer with compression |
539 |
506 |
$30K |
| E0431 |
Portable gaseous 02 |
1,318 |
1,315 |
$23K |
| A7030 |
Cpap full face mask |
126 |
125 |
$8K |
| A7037 |
Pos airway pressure tubing |
188 |
188 |
$3K |
| A7038 |
Pos airway pressure filter |
675 |
659 |
$3K |
| A7031 |
Replacement facemask interfa |
131 |
129 |
$3K |
| E0562 |
Humidifier heated used w pap |
74 |
72 |
$2K |
| A7005 |
Nondisposable nebulizer set |
131 |
123 |
$2K |
| A7035 |
Pos airway press headgear |
93 |
92 |
$1K |
| K0738 |
Portable gas oxygen system |
50 |
48 |
$233.36 |
| A7046 |
Repl water chamber, pap dev |
41 |
40 |
$185.29 |
| A7015 |
Aerosol mask used w nebulize |
18 |
12 |
$11.10 |