| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,883 |
1,852 |
$182K |
| A7031 |
Replacement facemask interfa |
1,318 |
1,267 |
$45K |
| A7030 |
Cpap full face mask |
452 |
443 |
$33K |
| E0601 |
Cont airway pressure device |
632 |
628 |
$23K |
| E0431 |
Portable gaseous 02 |
659 |
647 |
$11K |
| A7037 |
Pos airway pressure tubing |
569 |
562 |
$9K |
| A7038 |
Pos airway pressure filter |
1,856 |
1,783 |
$8K |
| K0738 |
Portable gas oxygen system |
123 |
121 |
$3K |
| A7035 |
Pos airway press headgear |
126 |
125 |
$2K |
| A7032 |
Replacement nasal cushion |
12 |
12 |
$523.95 |
| E0570 |
Nebulizer with compression |
94 |
94 |
$346.95 |
| A7046 |
Repl water chamber, pap dev |
38 |
37 |
$248.73 |