| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
575 |
433 |
$16K |
| E0601 |
Cont airway pressure device |
191 |
176 |
$5K |
| A7030 |
Cpap full face mask |
116 |
88 |
$1K |
| A7037 |
Pos airway pressure tubing |
283 |
239 |
$996.98 |
| E0431 |
Portable gaseous 02 |
269 |
206 |
$899.05 |
| A7038 |
Pos airway pressure filter |
1,086 |
852 |
$836.54 |
| A7031 |
Replacement facemask interfa |
124 |
106 |
$824.03 |
| E0562 |
Humidifier heated used w pap |
41 |
40 |
$675.45 |
| A7035 |
Pos airway press headgear |
106 |
97 |
$512.81 |
| A7034 |
Nasal application device |
63 |
61 |
$481.05 |
| A7046 |
Repl water chamber, pap dev |
27 |
24 |
$69.48 |
| E0570 |
Nebulizer with compression |
37 |
37 |
$36.10 |
| A7032 |
Replacement nasal cushion |
13 |
13 |
$3.60 |