| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,566 |
2,347 |
$159K |
| E0601 |
Cont airway pressure device |
632 |
583 |
$43K |
| E0441 |
Stationary o2 contents, gas |
896 |
821 |
$41K |
| K0738 |
Portable gas oxygen system |
1,280 |
1,221 |
$40K |
| A7030 |
Cpap full face mask |
96 |
86 |
$10K |
| A7035 |
Pos airway press headgear |
375 |
347 |
$9K |
| A4604 |
Tubing with heating element |
144 |
137 |
$6K |
| A7034 |
Nasal application device |
103 |
93 |
$5K |
| A7038 |
Pos airway pressure filter |
759 |
560 |
$4K |
| E0562 |
Humidifier heated used w pap |
20 |
17 |
$3K |
| A7031 |
Replacement facemask interfa |
58 |
56 |
$3K |
| A7046 |
Repl water chamber, pap dev |
196 |
178 |
$3K |
| E0570 |
Nebulizer with compression |
130 |
121 |
$2K |
| E0431 |
Portable gaseous 02 |
102 |
66 |
$557.17 |
| A7037 |
Pos airway pressure tubing |
30 |
24 |
$493.22 |