| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,412 |
6,044 |
$158K |
| A4604 |
Tubing with heating element |
1,900 |
1,745 |
$55K |
| A7030 |
Cpap full face mask |
585 |
520 |
$31K |
| E0431 |
Portable gaseous 02 |
4,944 |
3,957 |
$21K |
| E0601 |
Cont airway pressure device |
2,086 |
1,495 |
$20K |
| A7031 |
Replacement facemask interfa |
1,024 |
925 |
$19K |
| A7035 |
Pos airway press headgear |
854 |
777 |
$11K |
| E0562 |
Humidifier heated used w pap |
2,725 |
1,983 |
$10K |
| E1392 |
Portable oxygen concentrator |
1,223 |
1,065 |
$10K |
| A7034 |
Nasal application device |
131 |
126 |
$5K |
| A7038 |
Pos airway pressure filter |
2,852 |
2,578 |
$5K |
| A7046 |
Repl water chamber, pap dev |
474 |
428 |
$4K |
| E0570 |
Nebulizer with compression |
775 |
598 |
$3K |
| A7032 |
Replacement nasal cushion |
15 |
14 |
$346.70 |