| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
674 |
669 |
$36K |
| A7030 |
Cpap full face mask |
94 |
93 |
$6K |
| E0431 |
Portable gaseous 02 |
507 |
501 |
$6K |
| A7031 |
Replacement facemask interfa |
166 |
165 |
$5K |
| E0601 |
Cont airway pressure device |
138 |
132 |
$4K |
| A7032 |
Replacement nasal cushion |
55 |
55 |
$2K |
| A7038 |
Pos airway pressure filter |
437 |
432 |
$2K |
| A7034 |
Nasal application device |
39 |
36 |
$1K |
| A7035 |
Pos airway press headgear |
85 |
84 |
$1K |
| A7037 |
Pos airway pressure tubing |
85 |
85 |
$789.88 |
| A7046 |
Repl water chamber, pap dev |
62 |
61 |
$375.32 |
| B4150 |
Ef complet w/intact nutrient |
13 |
12 |
$326.92 |
| A7033 |
Replacement nasal pillows |
14 |
12 |
$290.07 |
| A7039 |
Filter, non disposable w pap |
14 |
14 |
$52.90 |
| A4604 |
Tubing with heating element |
38 |
38 |
$0.00 |