| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,202 |
6,812 |
$391K |
| E0601 |
Cont airway pressure device |
1,662 |
1,544 |
$107K |
| E0441 |
Stationary o2 contents, gas |
1,910 |
1,835 |
$86K |
| A7030 |
Cpap full face mask |
546 |
524 |
$51K |
| A7034 |
Nasal application device |
873 |
832 |
$44K |
| K0738 |
Portable gas oxygen system |
1,653 |
1,526 |
$42K |
| E0431 |
Portable gaseous 02 |
2,404 |
2,315 |
$31K |
| E0562 |
Humidifier heated used w pap |
166 |
155 |
$29K |
| A7031 |
Replacement facemask interfa |
569 |
542 |
$24K |
| A7037 |
Pos airway pressure tubing |
871 |
845 |
$23K |
| A4604 |
Tubing with heating element |
797 |
747 |
$22K |
| A7035 |
Pos airway press headgear |
839 |
803 |
$17K |
| A7038 |
Pos airway pressure filter |
1,719 |
1,609 |
$10K |
| A7032 |
Replacement nasal cushion |
293 |
275 |
$6K |
| A7033 |
Replacement nasal pillows |
266 |
254 |
$6K |
| A7046 |
Repl water chamber, pap dev |
380 |
367 |
$5K |
| E1392 |
Portable oxygen concentrator |
44 |
37 |
$528.86 |