| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,944 |
6,252 |
$258K |
| E0431 |
Portable gaseous 02 |
5,257 |
4,114 |
$71K |
| A7030 |
Cpap full face mask |
515 |
483 |
$30K |
| E0601 |
Cont airway pressure device |
1,096 |
855 |
$20K |
| A7031 |
Replacement facemask interfa |
778 |
723 |
$20K |
| A7037 |
Pos airway pressure tubing |
864 |
773 |
$11K |
| E0562 |
Humidifier heated used w pap |
1,327 |
1,017 |
$10K |
| A7035 |
Pos airway press headgear |
748 |
690 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,217 |
1,144 |
$9K |
| A7038 |
Pos airway pressure filter |
2,262 |
2,105 |
$8K |
| E0570 |
Nebulizer with compression |
1,260 |
873 |
$3K |
| A7034 |
Nasal application device |
39 |
38 |
$1K |
| E1392 |
Portable oxygen concentrator |
101 |
87 |
$905.22 |
| A7032 |
Replacement nasal cushion |
47 |
43 |
$541.07 |