| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,518 |
1,274 |
$67K |
| E0601 |
Cont airway pressure device |
1,374 |
1,254 |
$46K |
| A7031 |
Replacement facemask interfa |
833 |
760 |
$22K |
| E0562 |
Humidifier heated used w pap |
984 |
903 |
$20K |
| A7030 |
Cpap full face mask |
239 |
221 |
$12K |
| E1392 |
Portable oxygen concentrator |
467 |
354 |
$7K |
| A7038 |
Pos airway pressure filter |
1,441 |
1,307 |
$5K |
| A7032 |
Replacement nasal cushion |
149 |
135 |
$4K |
| A7035 |
Pos airway press headgear |
270 |
251 |
$3K |
| A7037 |
Pos airway pressure tubing |
280 |
267 |
$3K |
| A4604 |
Tubing with heating element |
122 |
108 |
$3K |
| E0431 |
Portable gaseous 02 |
221 |
211 |
$2K |
| A7034 |
Nasal application device |
32 |
28 |
$1K |