| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,716 |
11,236 |
$483K |
| E0431 |
Portable gaseous 02 |
4,528 |
3,966 |
$136K |
| E0601 |
Cont airway pressure device |
2,224 |
1,706 |
$34K |
| A7030 |
Cpap full face mask |
404 |
320 |
$16K |
| E0562 |
Humidifier heated used w pap |
720 |
508 |
$5K |
| A7031 |
Replacement facemask interfa |
257 |
186 |
$3K |
| A7035 |
Pos airway press headgear |
327 |
260 |
$3K |
| A7038 |
Pos airway pressure filter |
841 |
635 |
$2K |
| A7037 |
Pos airway pressure tubing |
253 |
206 |
$2K |
| E0570 |
Nebulizer with compression |
370 |
354 |
$1K |
| A7046 |
Repl water chamber, pap dev |
48 |
42 |
$219.32 |
| A9279 |
Monitoring feature/devicenoc |
253 |
194 |
$32.00 |