| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,348 |
2,328 |
$164K |
| A7031 |
Replacement facemask interfa |
1,188 |
1,144 |
$41K |
| A7030 |
Cpap full face mask |
393 |
383 |
$25K |
| E0601 |
Cont airway pressure device |
427 |
425 |
$11K |
| E0431 |
Portable gaseous 02 |
684 |
674 |
$11K |
| K0738 |
Portable gas oxygen system |
388 |
386 |
$8K |
| A7038 |
Pos airway pressure filter |
1,468 |
1,405 |
$7K |
| A7037 |
Pos airway pressure tubing |
350 |
343 |
$4K |
| E0570 |
Nebulizer with compression |
214 |
213 |
$1K |
| A7035 |
Pos airway press headgear |
92 |
90 |
$1K |
| A7039 |
Filter, non disposable w pap |
29 |
29 |
$184.39 |
| A7046 |
Repl water chamber, pap dev |
27 |
27 |
$180.26 |