| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,647 |
4,645 |
$214K |
| A7030 |
Cpap full face mask |
1,325 |
1,297 |
$99K |
| E0431 |
Portable gaseous 02 |
4,080 |
3,425 |
$67K |
| E0601 |
Cont airway pressure device |
1,839 |
1,463 |
$52K |
| A7031 |
Replacement facemask interfa |
1,511 |
1,454 |
$46K |
| A7037 |
Pos airway pressure tubing |
1,606 |
1,517 |
$35K |
| A7035 |
Pos airway press headgear |
1,743 |
1,689 |
$31K |
| E0562 |
Humidifier heated used w pap |
1,943 |
1,532 |
$23K |
| A7046 |
Repl water chamber, pap dev |
2,090 |
2,040 |
$19K |
| A7038 |
Pos airway pressure filter |
3,360 |
3,241 |
$16K |
| A7034 |
Nasal application device |
92 |
86 |
$3K |
| E0570 |
Nebulizer with compression |
271 |
207 |
$3K |
| A4604 |
Tubing with heating element |
26 |
25 |
$555.81 |
| A7039 |
Filter, non disposable w pap |
15 |
13 |
$48.82 |
| A7003 |
Nebulizer administration set |
14 |
13 |
$24.90 |