| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0555 |
Humidifier for use w/ regula |
15,594 |
15,173 |
$798K |
| E0441 |
Stationary o2 contents, gas |
10,641 |
10,386 |
$549K |
| E1390 |
Oxygen concentrator |
10,447 |
10,258 |
$418K |
| E0431 |
Portable gaseous 02 |
7,515 |
7,363 |
$77K |
| E1354 |
Wheeled cart, port cyl/conc |
1,643 |
1,573 |
$40K |
| E0550 |
Humidif extens supple w ippb |
532 |
517 |
$16K |
| T4535 |
Disposable liner/shield/pad |
148 |
147 |
$5K |
| A4554 |
Disposable underpads |
132 |
132 |
$5K |
| A7037 |
Pos airway pressure tubing |
26 |
25 |
$269.50 |
| A7038 |
Pos airway pressure filter |
26 |
25 |
$43.15 |
| E0443 |
Portable 02 contents, gas |
13 |
13 |
$0.00 |