| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,581 |
4,851 |
$158K |
| E0601 |
Cont airway pressure device |
1,645 |
1,531 |
$43K |
| E0470 |
Rad w/o backup non-inv intfc |
500 |
471 |
$31K |
| A7030 |
Cpap full face mask |
563 |
446 |
$21K |
| A7034 |
Nasal application device |
567 |
449 |
$14K |
| K0738 |
Portable gas oxygen system |
730 |
693 |
$12K |
| A7035 |
Pos airway press headgear |
1,148 |
932 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,304 |
1,046 |
$8K |
| E0431 |
Portable gaseous 02 |
701 |
606 |
$6K |
| A7031 |
Replacement facemask interfa |
347 |
259 |
$5K |
| A7038 |
Pos airway pressure filter |
2,086 |
1,617 |
$5K |
| E1392 |
Portable oxygen concentrator |
1,010 |
927 |
$5K |
| A7046 |
Repl water chamber, pap dev |
455 |
376 |
$2K |
| A7032 |
Replacement nasal cushion |
43 |
37 |
$569.05 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$152.56 |