| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,004 |
4,888 |
$340K |
| E0601 |
Cont airway pressure device |
3,343 |
2,799 |
$167K |
| A7034 |
Nasal application device |
2,022 |
1,774 |
$96K |
| A4604 |
Tubing with heating element |
2,458 |
2,186 |
$75K |
| A7030 |
Cpap full face mask |
1,000 |
868 |
$65K |
| A7035 |
Pos airway press headgear |
2,529 |
2,221 |
$44K |
| E0431 |
Portable gaseous 02 |
3,947 |
3,193 |
$42K |
| E0562 |
Humidifier heated used w pap |
439 |
377 |
$32K |
| A7032 |
Replacement nasal cushion |
1,021 |
890 |
$25K |
| A7038 |
Pos airway pressure filter |
4,551 |
3,934 |
$23K |
| A7046 |
Repl water chamber, pap dev |
1,658 |
1,460 |
$16K |
| A7039 |
Filter, non disposable w pap |
2,328 |
2,044 |
$15K |
| A7031 |
Replacement facemask interfa |
641 |
548 |
$13K |
| A7037 |
Pos airway pressure tubing |
399 |
312 |
$5K |
| E0570 |
Nebulizer with compression |
146 |
112 |
$1K |