| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,172 |
3,835 |
$129K |
| E0431 |
Portable gaseous 02 |
2,380 |
2,197 |
$15K |
| E0570 |
Nebulizer with compression |
144 |
126 |
$13K |
| E0603 |
Electric breast pump |
96 |
78 |
$9K |
| E0601 |
Cont airway pressure device |
910 |
819 |
$7K |
| A4606 |
Oxygen probe used w oximeter |
15 |
12 |
$1K |
| E1392 |
Portable oxygen concentrator |
77 |
76 |
$880.18 |
| A7037 |
Pos airway pressure tubing |
302 |
249 |
$555.64 |
| E0562 |
Humidifier heated used w pap |
118 |
112 |
$373.00 |
| A7035 |
Pos airway press headgear |
123 |
110 |
$338.27 |
| A7031 |
Replacement facemask interfa |
48 |
40 |
$240.18 |
| A7038 |
Pos airway pressure filter |
318 |
263 |
$157.01 |
| A7000 |
Disposable canister for pump |
14 |
13 |
$105.79 |
| A7039 |
Filter, non disposable w pap |
75 |
63 |
$88.83 |
| A7030 |
Cpap full face mask |
14 |
13 |
$0.00 |