| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,570 |
3,389 |
$363K |
| E0431 |
Portable gaseous 02 |
1,339 |
1,286 |
$27K |
| E0424 |
Stationary compressed gas 02 |
164 |
157 |
$21K |
| E0441 |
Stationary o2 contents, gas |
168 |
166 |
$11K |
| K0738 |
Portable gas oxygen system |
407 |
374 |
$10K |
| A7030 |
Cpap full face mask |
102 |
98 |
$9K |
| A7031 |
Replacement facemask interfa |
199 |
191 |
$7K |
| A4604 |
Tubing with heating element |
175 |
170 |
$6K |
| A7038 |
Pos airway pressure filter |
608 |
577 |
$3K |
| E1392 |
Portable oxygen concentrator |
125 |
117 |
$2K |
| E0601 |
Cont airway pressure device |
15 |
14 |
$2K |
| A7035 |
Pos airway press headgear |
70 |
67 |
$1K |
| A7034 |
Nasal application device |
14 |
14 |
$738.02 |
| A7046 |
Repl water chamber, pap dev |
15 |
15 |
$196.54 |