| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,674 |
4,239 |
$332K |
| K0738 |
Portable gas oxygen system |
1,230 |
1,129 |
$33K |
| E0442 |
Stationary o2 contents, liq |
796 |
747 |
$33K |
| E0434 |
Portable liquid 02 |
771 |
762 |
$25K |
| E0431 |
Portable gaseous 02 |
960 |
919 |
$13K |
| E0601 |
Cont airway pressure device |
210 |
200 |
$12K |
| E0441 |
Stationary o2 contents, gas |
264 |
251 |
$12K |
| A7034 |
Nasal application device |
147 |
136 |
$5K |
| A7038 |
Pos airway pressure filter |
504 |
466 |
$2K |
| E0570 |
Nebulizer with compression |
24 |
24 |
$1K |
| A7035 |
Pos airway press headgear |
50 |
46 |
$950.14 |
| A4604 |
Tubing with heating element |
16 |
14 |
$482.02 |
| A7032 |
Replacement nasal cushion |
14 |
12 |
$226.44 |
| A7046 |
Repl water chamber, pap dev |
16 |
14 |
$178.32 |