| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,604 |
4,999 |
$194K |
| E0601 |
Cont airway pressure device |
1,330 |
1,251 |
$39K |
| K0738 |
Portable gas oxygen system |
1,890 |
1,676 |
$28K |
| A7037 |
Pos airway pressure tubing |
579 |
475 |
$4K |
| A7030 |
Cpap full face mask |
87 |
70 |
$4K |
| E1392 |
Portable oxygen concentrator |
831 |
730 |
$3K |
| A7038 |
Pos airway pressure filter |
841 |
662 |
$2K |
| A7035 |
Pos airway press headgear |
287 |
240 |
$2K |
| E0562 |
Humidifier heated used w pap |
16 |
14 |
$2K |
| A7034 |
Nasal application device |
59 |
45 |
$1K |
| A7031 |
Replacement facemask interfa |
66 |
50 |
$1K |
| A7046 |
Repl water chamber, pap dev |
29 |
26 |
$147.67 |