| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,760 |
5,499 |
$301K |
| E0601 |
Cont airway pressure device |
2,033 |
1,867 |
$73K |
| K0738 |
Portable gas oxygen system |
1,764 |
1,525 |
$30K |
| A7034 |
Nasal application device |
671 |
576 |
$26K |
| A7030 |
Cpap full face mask |
296 |
259 |
$21K |
| E0466 |
Home vent non-invasive inter |
78 |
75 |
$18K |
| A7035 |
Pos airway press headgear |
1,205 |
1,038 |
$17K |
| E0431 |
Portable gaseous 02 |
648 |
533 |
$14K |
| E1392 |
Portable oxygen concentrator |
932 |
774 |
$11K |
| A7038 |
Pos airway pressure filter |
2,089 |
1,796 |
$9K |
| A7037 |
Pos airway pressure tubing |
596 |
520 |
$8K |
| A7046 |
Repl water chamber, pap dev |
673 |
579 |
$5K |
| A7031 |
Replacement facemask interfa |
153 |
141 |
$5K |
| A4604 |
Tubing with heating element |
237 |
205 |
$5K |
| A7032 |
Replacement nasal cushion |
89 |
79 |
$3K |
| E0562 |
Humidifier heated used w pap |
14 |
14 |
$2K |