| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,695 |
1,695 |
$148K |
| E0601 |
Cont airway pressure device |
2,389 |
2,378 |
$118K |
| A7030 |
Cpap full face mask |
560 |
546 |
$36K |
| E0431 |
Portable gaseous 02 |
1,410 |
1,398 |
$26K |
| E0562 |
Humidifier heated used w pap |
1,029 |
1,026 |
$19K |
| A7031 |
Replacement facemask interfa |
484 |
465 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
145 |
144 |
$17K |
| A7037 |
Pos airway pressure tubing |
619 |
615 |
$12K |
| A7035 |
Pos airway press headgear |
560 |
548 |
$10K |
| A7038 |
Pos airway pressure filter |
1,117 |
1,086 |
$6K |
| A7034 |
Nasal application device |
156 |
152 |
$5K |
| E0603 |
Electric breast pump |
26 |
26 |
$3K |
| A7046 |
Repl water chamber, pap dev |
363 |
355 |
$2K |
| E0570 |
Nebulizer with compression |
63 |
63 |
$2K |
| A4604 |
Tubing with heating element |
58 |
58 |
$440.00 |