| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,902 |
3,189 |
$128K |
| A7031 |
Replacement facemask interfa |
1,101 |
967 |
$27K |
| E0601 |
Cont airway pressure device |
597 |
488 |
$14K |
| A7030 |
Cpap full face mask |
289 |
235 |
$12K |
| E0431 |
Portable gaseous 02 |
1,853 |
1,491 |
$11K |
| A4604 |
Tubing with heating element |
777 |
647 |
$8K |
| A7038 |
Pos airway pressure filter |
2,171 |
1,906 |
$6K |
| E0562 |
Humidifier heated used w pap |
316 |
251 |
$3K |
| A7035 |
Pos airway press headgear |
284 |
236 |
$2K |
| A7032 |
Replacement nasal cushion |
33 |
29 |
$504.26 |
| A7046 |
Repl water chamber, pap dev |
94 |
76 |
$455.03 |
| E0570 |
Nebulizer with compression |
17 |
12 |
$53.20 |