| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,376 |
3,731 |
$122K |
| E0431 |
Portable gaseous 02 |
1,924 |
1,720 |
$15K |
| E0601 |
Cont airway pressure device |
838 |
788 |
$12K |
| E1392 |
Portable oxygen concentrator |
2,050 |
1,711 |
$7K |
| A4604 |
Tubing with heating element |
472 |
428 |
$5K |
| A7031 |
Replacement facemask interfa |
311 |
280 |
$5K |
| E0562 |
Humidifier heated used w pap |
878 |
833 |
$5K |
| E0570 |
Nebulizer with compression |
964 |
917 |
$3K |
| A7038 |
Pos airway pressure filter |
1,346 |
1,203 |
$2K |
| A7030 |
Cpap full face mask |
85 |
74 |
$2K |
| A7035 |
Pos airway press headgear |
271 |
243 |
$1K |
| A7034 |
Nasal application device |
106 |
96 |
$1K |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$289.59 |
| A7046 |
Repl water chamber, pap dev |
41 |
37 |
$107.78 |