| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,745 |
2,733 |
$218K |
| E0601 |
Cont airway pressure device |
2,142 |
2,141 |
$132K |
| E0562 |
Humidifier heated used w pap |
2,043 |
2,037 |
$25K |
| E0570 |
Nebulizer with compression |
1,556 |
1,553 |
$24K |
| A7030 |
Cpap full face mask |
344 |
344 |
$23K |
| E0431 |
Portable gaseous 02 |
1,125 |
1,123 |
$18K |
| A7038 |
Pos airway pressure filter |
946 |
943 |
$17K |
| A7031 |
Replacement facemask interfa |
395 |
395 |
$15K |
| A7035 |
Pos airway press headgear |
356 |
355 |
$7K |
| A7046 |
Repl water chamber, pap dev |
541 |
540 |
$4K |
| A7037 |
Pos airway pressure tubing |
120 |
120 |
$3K |