| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,523 |
2,511 |
$101K |
| E0601 |
Cont airway pressure device |
2,174 |
2,163 |
$72K |
| E1392 |
Portable oxygen concentrator |
700 |
693 |
$8K |
| A7034 |
Nasal application device |
157 |
156 |
$6K |
| K0738 |
Portable gas oxygen system |
212 |
211 |
$4K |
| A7037 |
Pos airway pressure tubing |
403 |
400 |
$4K |
| A7035 |
Pos airway press headgear |
338 |
337 |
$4K |
| A7038 |
Pos airway pressure filter |
1,206 |
1,193 |
$4K |
| A7032 |
Replacement nasal cushion |
52 |
50 |
$2K |
| A7030 |
Cpap full face mask |
25 |
25 |
$1K |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$804.90 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$243.14 |
| A7046 |
Repl water chamber, pap dev |
24 |
24 |
$214.73 |