| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
527 |
521 |
$50K |
| A7030 |
Cpap full face mask |
314 |
312 |
$31K |
| A7031 |
Replacement facemask interfa |
654 |
642 |
$25K |
| E0601 |
Cont airway pressure device |
416 |
412 |
$21K |
| A4604 |
Tubing with heating element |
494 |
492 |
$20K |
| E1392 |
Portable oxygen concentrator |
275 |
272 |
$8K |
| A7032 |
Replacement nasal cushion |
198 |
196 |
$7K |
| A7038 |
Pos airway pressure filter |
1,059 |
1,037 |
$5K |
| A7035 |
Pos airway press headgear |
114 |
114 |
$2K |
| A7046 |
Repl water chamber, pap dev |
138 |
137 |
$2K |
| A7034 |
Nasal application device |
25 |
25 |
$2K |