| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,093 |
1,084 |
$95K |
| E0601 |
Cont airway pressure device |
1,838 |
1,810 |
$80K |
| A7031 |
Replacement facemask interfa |
958 |
946 |
$45K |
| A4604 |
Tubing with heating element |
837 |
832 |
$31K |
| A7033 |
Replacement nasal pillows |
512 |
508 |
$24K |
| A7030 |
Cpap full face mask |
245 |
239 |
$20K |
| A7038 |
Pos airway pressure filter |
2,494 |
2,461 |
$15K |
| A7034 |
Nasal application device |
241 |
236 |
$14K |
| K0738 |
Portable gas oxygen system |
347 |
343 |
$11K |
| A7035 |
Pos airway press headgear |
429 |
418 |
$8K |
| A7032 |
Replacement nasal cushion |
40 |
38 |
$2K |
| E0570 |
Nebulizer with compression |
260 |
260 |
$2K |
| A7046 |
Repl water chamber, pap dev |
137 |
137 |
$2K |