| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,141 |
1,127 |
$60K |
| E1390 |
Oxygen concentrator |
918 |
900 |
$27K |
| A7031 |
Replacement facemask interfa |
360 |
355 |
$11K |
| A7030 |
Cpap full face mask |
121 |
117 |
$8K |
| E0562 |
Humidifier heated used w pap |
27 |
27 |
$5K |
| A7038 |
Pos airway pressure filter |
988 |
955 |
$4K |
| A7037 |
Pos airway pressure tubing |
264 |
261 |
$4K |
| E0431 |
Portable gaseous 02 |
435 |
429 |
$3K |
| A7035 |
Pos airway press headgear |
141 |
139 |
$2K |
| A7034 |
Nasal application device |
24 |
24 |
$1K |
| A7033 |
Replacement nasal pillows |
24 |
24 |
$753.96 |
| A7046 |
Repl water chamber, pap dev |
25 |
25 |
$194.01 |
| E0570 |
Nebulizer with compression |
12 |
12 |
$0.00 |