| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,439 |
9,501 |
$535K |
| E0431 |
Portable gaseous 02 |
7,905 |
5,572 |
$52K |
| E0570 |
Nebulizer with compression |
3,467 |
1,938 |
$36K |
| A7038 |
Pos airway pressure filter |
2,671 |
2,137 |
$13K |
| E0601 |
Cont airway pressure device |
271 |
187 |
$12K |
| E1392 |
Portable oxygen concentrator |
980 |
613 |
$11K |
| A7035 |
Pos airway press headgear |
459 |
337 |
$6K |
| A7034 |
Nasal application device |
111 |
75 |
$4K |
| A7031 |
Replacement facemask interfa |
149 |
115 |
$3K |
| A7037 |
Pos airway pressure tubing |
324 |
216 |
$3K |
| A7030 |
Cpap full face mask |
71 |
51 |
$2K |
| E0562 |
Humidifier heated used w pap |
34 |
27 |
$2K |
| A7046 |
Repl water chamber, pap dev |
155 |
117 |
$978.52 |
| E0443 |
Portable 02 contents, gas |
279 |
160 |
$713.17 |
| A4604 |
Tubing with heating element |
18 |
12 |
$328.47 |
| A7003 |
Nebulizer administration set |
310 |
179 |
$293.68 |