| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,966 |
7,456 |
$416K |
| E0431 |
Portable gaseous 02 |
5,067 |
4,725 |
$55K |
| A7031 |
Replacement facemask interfa |
1,124 |
1,053 |
$38K |
| E0601 |
Cont airway pressure device |
824 |
755 |
$28K |
| A7032 |
Replacement nasal cushion |
356 |
332 |
$15K |
| A7038 |
Pos airway pressure filter |
2,739 |
2,559 |
$12K |
| E0562 |
Humidifier heated used w pap |
811 |
741 |
$10K |
| E1392 |
Portable oxygen concentrator |
895 |
824 |
$9K |
| A7030 |
Cpap full face mask |
123 |
116 |
$9K |
| A7034 |
Nasal application device |
189 |
173 |
$8K |
| A4604 |
Tubing with heating element |
217 |
203 |
$7K |
| A7035 |
Pos airway press headgear |
360 |
336 |
$5K |
| A7037 |
Pos airway pressure tubing |
306 |
291 |
$3K |
| E0570 |
Nebulizer with compression |
590 |
523 |
$3K |
| A7046 |
Repl water chamber, pap dev |
79 |
78 |
$709.38 |
| A7005 |
Nondisposable nebulizer set |
14 |
14 |
$78.52 |
| A7003 |
Nebulizer administration set |
15 |
12 |
$16.92 |