| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,823 |
18,334 |
$1.94M |
| E0424 |
Stationary compressed gas 02 |
1,446 |
1,310 |
$168K |
| E0431 |
Portable gaseous 02 |
8,774 |
8,113 |
$151K |
| E0434 |
Portable liquid 02 |
2,585 |
2,436 |
$105K |
| E0441 |
Stationary o2 contents, gas |
1,682 |
1,570 |
$100K |
| K0738 |
Portable gas oxygen system |
2,688 |
2,459 |
$82K |
| E0442 |
Stationary o2 contents, liq |
1,265 |
1,140 |
$67K |
| A7030 |
Cpap full face mask |
742 |
667 |
$52K |
| E0601 |
Cont airway pressure device |
748 |
673 |
$46K |
| A7031 |
Replacement facemask interfa |
849 |
751 |
$25K |
| E0570 |
Nebulizer with compression |
952 |
881 |
$21K |
| E1392 |
Portable oxygen concentrator |
1,048 |
913 |
$17K |
| A4604 |
Tubing with heating element |
700 |
624 |
$17K |
| A7034 |
Nasal application device |
215 |
198 |
$8K |
| A7035 |
Pos airway press headgear |
569 |
518 |
$8K |
| A7038 |
Pos airway pressure filter |
1,752 |
1,557 |
$7K |
| A7046 |
Repl water chamber, pap dev |
396 |
350 |
$3K |
| A7032 |
Replacement nasal cushion |
115 |
96 |
$2K |
| E0562 |
Humidifier heated used w pap |
15 |
14 |
$2K |
| E0443 |
Portable 02 contents, gas |
75 |
53 |
$470.38 |
| A7005 |
Nondisposable nebulizer set |
29 |
28 |
$447.66 |
| A7037 |
Pos airway pressure tubing |
13 |
12 |
$108.12 |