| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,525 |
3,653 |
$146K |
| E0431 |
Portable gaseous 02 |
2,518 |
2,096 |
$16K |
| E0601 |
Cont airway pressure device |
353 |
290 |
$7K |
| A7031 |
Replacement facemask interfa |
213 |
188 |
$4K |
| A7038 |
Pos airway pressure filter |
1,595 |
1,411 |
$3K |
| A7030 |
Cpap full face mask |
55 |
49 |
$2K |
| A7037 |
Pos airway pressure tubing |
344 |
313 |
$2K |
| E0562 |
Humidifier heated used w pap |
297 |
228 |
$2K |
| A4604 |
Tubing with heating element |
64 |
58 |
$2K |
| A7035 |
Pos airway press headgear |
151 |
135 |
$1K |
| A7034 |
Nasal application device |
16 |
15 |
$432.01 |
| A7046 |
Repl water chamber, pap dev |
16 |
14 |
$71.19 |