| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
22,927 |
22,159 |
$1.91M |
| E0431 |
Portable gaseous 02 |
11,449 |
11,078 |
$158K |
| E0601 |
Cont airway pressure device |
1,141 |
1,029 |
$55K |
| A7037 |
Pos airway pressure tubing |
772 |
740 |
$10K |
| E0562 |
Humidifier heated used w pap |
159 |
124 |
$7K |
| A7035 |
Pos airway press headgear |
234 |
222 |
$3K |
| A7038 |
Pos airway pressure filter |
804 |
757 |
$3K |
| E0570 |
Nebulizer with compression |
296 |
293 |
$3K |
| A7030 |
Cpap full face mask |
44 |
42 |
$3K |
| E0443 |
Portable 02 contents, gas |
327 |
310 |
$1K |
| A7034 |
Nasal application device |
12 |
12 |
$500.09 |
| A7031 |
Replacement facemask interfa |
17 |
17 |
$199.03 |