| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,251 |
2,213 |
$108K |
| A7030 |
Cpap full face mask |
392 |
387 |
$28K |
| E0601 |
Cont airway pressure device |
586 |
568 |
$24K |
| A7037 |
Pos airway pressure tubing |
757 |
747 |
$11K |
| E0431 |
Portable gaseous 02 |
1,409 |
1,388 |
$10K |
| A7031 |
Replacement facemask interfa |
216 |
214 |
$7K |
| A7035 |
Pos airway press headgear |
512 |
504 |
$7K |
| A7038 |
Pos airway pressure filter |
998 |
979 |
$7K |
| A7034 |
Nasal application device |
118 |
111 |
$6K |
| E0562 |
Humidifier heated used w pap |
361 |
353 |
$5K |
| A7046 |
Repl water chamber, pap dev |
217 |
214 |
$2K |
| A7039 |
Filter, non disposable w pap |
257 |
253 |
$2K |
| E0570 |
Nebulizer with compression |
236 |
228 |
$2K |
| A7032 |
Replacement nasal cushion |
26 |
25 |
$920.54 |