| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,126 |
5,452 |
$178K |
| E0431 |
Portable gaseous 02 |
2,749 |
2,461 |
$17K |
| A7031 |
Replacement facemask interfa |
467 |
406 |
$8K |
| A7037 |
Pos airway pressure tubing |
688 |
610 |
$4K |
| A7038 |
Pos airway pressure filter |
1,084 |
897 |
$2K |
| A7030 |
Cpap full face mask |
39 |
37 |
$932.41 |
| E0443 |
Portable 02 contents, gas |
47 |
39 |
$862.30 |
| A7035 |
Pos airway press headgear |
40 |
36 |
$261.02 |
| A7003 |
Nebulizer administration set |
129 |
109 |
$93.94 |
| A7046 |
Repl water chamber, pap dev |
28 |
24 |
$74.13 |
| E0562 |
Humidifier heated used w pap |
13 |
12 |
$49.71 |
| E0570 |
Nebulizer with compression |
12 |
12 |
$21.83 |