| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,732 |
4,770 |
$280K |
| E0601 |
Cont airway pressure device |
2,754 |
1,991 |
$89K |
| E0430 |
Oxygen system gas portable |
513 |
433 |
$13K |
| A7038 |
Pos airway pressure filter |
957 |
811 |
$7K |
| E0570 |
Nebulizer with compression |
560 |
483 |
$5K |
| A4604 |
Tubing with heating element |
398 |
326 |
$4K |
| A7031 |
Replacement facemask interfa |
199 |
175 |
$2K |
| E0431 |
Portable gaseous 02 |
2,204 |
1,937 |
$2K |
| A7030 |
Cpap full face mask |
70 |
55 |
$1K |
| E1392 |
Portable oxygen concentrator |
136 |
130 |
$556.83 |
| A7035 |
Pos airway press headgear |
65 |
52 |
$510.50 |
| A7046 |
Repl water chamber, pap dev |
26 |
24 |
$91.64 |
| A7034 |
Nasal application device |
12 |
12 |
$56.38 |