| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,894 |
6,084 |
$478K |
| E0439 |
Stationary liquid 02 |
1,422 |
1,150 |
$107K |
| E0431 |
Portable gaseous 02 |
2,845 |
2,384 |
$39K |
| E0434 |
Portable liquid 02 |
1,441 |
1,160 |
$36K |
| E0601 |
Cont airway pressure device |
540 |
463 |
$33K |
| A7030 |
Cpap full face mask |
440 |
355 |
$27K |
| E1392 |
Portable oxygen concentrator |
1,987 |
1,269 |
$24K |
| A7031 |
Replacement facemask interfa |
765 |
576 |
$16K |
| E0442 |
Stationary o2 contents, liq |
438 |
389 |
$15K |
| A7034 |
Nasal application device |
291 |
245 |
$13K |
| K0738 |
Portable gas oxygen system |
245 |
228 |
$6K |
| E0570 |
Nebulizer with compression |
575 |
493 |
$6K |
| A7032 |
Replacement nasal cushion |
381 |
290 |
$6K |
| A7035 |
Pos airway press headgear |
431 |
368 |
$6K |
| A7038 |
Pos airway pressure filter |
1,554 |
1,223 |
$6K |
| E0562 |
Humidifier heated used w pap |
31 |
25 |
$3K |
| A7037 |
Pos airway pressure tubing |
292 |
241 |
$3K |
| A7046 |
Repl water chamber, pap dev |
280 |
227 |
$2K |
| A4604 |
Tubing with heating element |
75 |
61 |
$2K |
| A7039 |
Filter, non disposable w pap |
18 |
16 |
$42.70 |