| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,667 |
9,167 |
$339K |
| K0738 |
Portable gas oxygen system |
2,382 |
2,128 |
$86K |
| E0431 |
Portable gaseous 02 |
1,365 |
1,176 |
$55K |
| A7030 |
Cpap full face mask |
666 |
570 |
$31K |
| E0601 |
Cont airway pressure device |
1,650 |
1,420 |
$30K |
| A7031 |
Replacement facemask interfa |
685 |
566 |
$15K |
| A7035 |
Pos airway press headgear |
472 |
407 |
$6K |
| A4604 |
Tubing with heating element |
610 |
493 |
$6K |
| A7038 |
Pos airway pressure filter |
1,264 |
1,029 |
$5K |
| E0570 |
Nebulizer with compression |
489 |
451 |
$3K |
| E0562 |
Humidifier heated used w pap |
13 |
13 |
$2K |
| E1392 |
Portable oxygen concentrator |
246 |
185 |
$1K |
| A7046 |
Repl water chamber, pap dev |
119 |
102 |
$885.28 |