| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,150 |
8,310 |
$316K |
| E0601 |
Cont airway pressure device |
1,540 |
1,368 |
$46K |
| E0431 |
Portable gaseous 02 |
4,045 |
3,681 |
$34K |
| E0562 |
Humidifier heated used w pap |
724 |
656 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,089 |
994 |
$8K |
| A7030 |
Cpap full face mask |
105 |
92 |
$4K |
| A7038 |
Pos airway pressure filter |
1,593 |
1,408 |
$4K |
| A7034 |
Nasal application device |
117 |
104 |
$4K |
| A7035 |
Pos airway press headgear |
374 |
336 |
$4K |
| A7046 |
Repl water chamber, pap dev |
199 |
185 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
26 |
24 |
$1K |
| A7031 |
Replacement facemask interfa |
62 |
55 |
$1K |
| A7039 |
Filter, non disposable w pap |
198 |
171 |
$652.72 |
| E0570 |
Nebulizer with compression |
27 |
26 |
$440.21 |