| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,346 |
6,970 |
$296K |
| A7031 |
Replacement facemask interfa |
3,585 |
3,242 |
$86K |
| A7030 |
Cpap full face mask |
2,177 |
2,052 |
$79K |
| E0601 |
Cont airway pressure device |
3,335 |
3,064 |
$67K |
| E0431 |
Portable gaseous 02 |
4,603 |
4,375 |
$51K |
| E0562 |
Humidifier heated used w pap |
3,851 |
3,623 |
$33K |
| E0570 |
Nebulizer with compression |
3,873 |
3,590 |
$19K |
| A7037 |
Pos airway pressure tubing |
2,589 |
2,419 |
$17K |
| A7038 |
Pos airway pressure filter |
5,473 |
5,109 |
$15K |
| A7035 |
Pos airway press headgear |
1,689 |
1,579 |
$13K |
| A7034 |
Nasal application device |
478 |
438 |
$8K |
| A4604 |
Tubing with heating element |
289 |
282 |
$5K |
| A7032 |
Replacement nasal cushion |
282 |
261 |
$4K |
| A7046 |
Repl water chamber, pap dev |
928 |
856 |
$3K |