| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,549 |
8,200 |
$462K |
| E0431 |
Portable gaseous 02 |
7,193 |
5,308 |
$64K |
| E0570 |
Nebulizer with compression |
1,361 |
903 |
$5K |
| E0562 |
Humidifier heated used w pap |
386 |
276 |
$2K |
| A7038 |
Pos airway pressure filter |
655 |
456 |
$2K |
| E0601 |
Cont airway pressure device |
106 |
70 |
$1K |
| A7037 |
Pos airway pressure tubing |
199 |
124 |
$839.64 |
| A7031 |
Replacement facemask interfa |
64 |
41 |
$792.69 |
| A7034 |
Nasal application device |
42 |
25 |
$614.69 |
| A7030 |
Cpap full face mask |
19 |
12 |
$465.75 |
| E1392 |
Portable oxygen concentrator |
215 |
122 |
$431.10 |
| A7035 |
Pos airway press headgear |
43 |
29 |
$293.73 |
| A7046 |
Repl water chamber, pap dev |
28 |
16 |
$61.43 |