| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,488 |
2,351 |
$165K |
| A7031 |
Replacement facemask interfa |
1,598 |
1,504 |
$65K |
| A7030 |
Cpap full face mask |
681 |
625 |
$60K |
| E0601 |
Cont airway pressure device |
889 |
800 |
$52K |
| A4604 |
Tubing with heating element |
912 |
836 |
$28K |
| A7032 |
Replacement nasal cushion |
321 |
305 |
$16K |
| A7038 |
Pos airway pressure filter |
2,409 |
2,273 |
$14K |
| A7034 |
Nasal application device |
181 |
163 |
$9K |
| K0738 |
Portable gas oxygen system |
435 |
385 |
$9K |
| A7035 |
Pos airway press headgear |
425 |
387 |
$7K |
| E0570 |
Nebulizer with compression |
328 |
325 |
$7K |
| A7046 |
Repl water chamber, pap dev |
360 |
328 |
$3K |
| E0431 |
Portable gaseous 02 |
188 |
184 |
$3K |
| A7039 |
Filter, non disposable w pap |
232 |
200 |
$2K |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$214.01 |
| E1392 |
Portable oxygen concentrator |
12 |
12 |
$102.75 |