| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,197 |
3,970 |
$305K |
| E0601 |
Cont airway pressure device |
2,535 |
2,369 |
$111K |
| A4604 |
Tubing with heating element |
1,330 |
1,255 |
$46K |
| E0431 |
Portable gaseous 02 |
2,587 |
2,405 |
$32K |
| E0562 |
Humidifier heated used w pap |
1,317 |
1,266 |
$29K |
| A7031 |
Replacement facemask interfa |
489 |
456 |
$15K |
| A7035 |
Pos airway press headgear |
712 |
670 |
$13K |
| A7038 |
Pos airway pressure filter |
2,202 |
2,084 |
$10K |
| A7030 |
Cpap full face mask |
105 |
93 |
$8K |
| E0424 |
Stationary compressed gas 02 |
25 |
24 |
$4K |
| A7034 |
Nasal application device |
55 |
52 |
$3K |
| E0443 |
Portable 02 contents, gas |
51 |
12 |
$3K |
| A7046 |
Repl water chamber, pap dev |
175 |
161 |
$2K |
| A7033 |
Replacement nasal pillows |
13 |
12 |
$385.12 |