| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,527 |
13,731 |
$862K |
| E0431 |
Portable gaseous 02 |
11,354 |
10,764 |
$145K |
| E0601 |
Cont airway pressure device |
2,307 |
1,995 |
$100K |
| E0562 |
Humidifier heated used w pap |
1,178 |
953 |
$57K |
| E0424 |
Stationary compressed gas 02 |
590 |
580 |
$53K |
| A7030 |
Cpap full face mask |
584 |
552 |
$38K |
| A4604 |
Tubing with heating element |
717 |
645 |
$18K |
| A7035 |
Pos airway press headgear |
814 |
763 |
$12K |
| A7034 |
Nasal application device |
267 |
240 |
$11K |
| A7031 |
Replacement facemask interfa |
351 |
309 |
$8K |
| A7038 |
Pos airway pressure filter |
1,664 |
1,503 |
$6K |
| A7037 |
Pos airway pressure tubing |
360 |
349 |
$6K |
| E1392 |
Portable oxygen concentrator |
262 |
243 |
$6K |
| A7046 |
Repl water chamber, pap dev |
98 |
91 |
$707.47 |
| A7032 |
Replacement nasal cushion |
27 |
25 |
$455.89 |