| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,881 |
12,759 |
$1.10M |
| E0442 |
Stationary o2 contents, liq |
3,663 |
3,376 |
$167K |
| E0441 |
Stationary o2 contents, gas |
3,104 |
2,967 |
$154K |
| E0434 |
Portable liquid 02 |
3,499 |
3,230 |
$114K |
| E0424 |
Stationary compressed gas 02 |
989 |
907 |
$94K |
| E0431 |
Portable gaseous 02 |
5,352 |
5,147 |
$77K |
| K0738 |
Portable gas oxygen system |
1,338 |
1,298 |
$39K |
| E0601 |
Cont airway pressure device |
340 |
316 |
$19K |
| E0439 |
Stationary liquid 02 |
359 |
342 |
$18K |
| A7030 |
Cpap full face mask |
55 |
54 |
$5K |
| E0443 |
Portable 02 contents, gas |
433 |
330 |
$3K |
| A7037 |
Pos airway pressure tubing |
125 |
120 |
$3K |
| A7031 |
Replacement facemask interfa |
57 |
55 |
$2K |
| A7038 |
Pos airway pressure filter |
440 |
421 |
$2K |
| E0570 |
Nebulizer with compression |
49 |
49 |
$2K |
| A7035 |
Pos airway press headgear |
98 |
94 |
$2K |
| A7034 |
Nasal application device |
51 |
51 |
$2K |
| A4604 |
Tubing with heating element |
29 |
29 |
$1K |
| A7032 |
Replacement nasal cushion |
26 |
26 |
$545.66 |
| A7046 |
Repl water chamber, pap dev |
15 |
15 |
$184.74 |