| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,362 |
4,494 |
$196K |
| E0601 |
Cont airway pressure device |
2,989 |
2,265 |
$77K |
| E0430 |
Oxygen system gas portable |
521 |
450 |
$11K |
| A7038 |
Pos airway pressure filter |
1,316 |
1,110 |
$10K |
| A7031 |
Replacement facemask interfa |
572 |
495 |
$5K |
| E1392 |
Portable oxygen concentrator |
882 |
715 |
$4K |
| A7030 |
Cpap full face mask |
298 |
249 |
$3K |
| E0431 |
Portable gaseous 02 |
1,682 |
1,431 |
$3K |
| E0570 |
Nebulizer with compression |
412 |
376 |
$3K |
| A7035 |
Pos airway press headgear |
232 |
191 |
$1K |
| A4604 |
Tubing with heating element |
150 |
123 |
$981.84 |
| A7034 |
Nasal application device |
82 |
65 |
$714.82 |
| A7037 |
Pos airway pressure tubing |
126 |
99 |
$454.27 |
| A7046 |
Repl water chamber, pap dev |
34 |
29 |
$185.46 |