| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,676 |
5,134 |
$295K |
| E0431 |
Portable gaseous 02 |
3,415 |
3,076 |
$40K |
| E0601 |
Cont airway pressure device |
567 |
512 |
$18K |
| A4604 |
Tubing with heating element |
397 |
361 |
$13K |
| E0562 |
Humidifier heated used w pap |
792 |
702 |
$10K |
| A7031 |
Replacement facemask interfa |
225 |
207 |
$8K |
| A7038 |
Pos airway pressure filter |
1,850 |
1,697 |
$7K |
| A7032 |
Replacement nasal cushion |
167 |
147 |
$7K |
| E1392 |
Portable oxygen concentrator |
463 |
430 |
$4K |
| E0570 |
Nebulizer with compression |
696 |
642 |
$3K |
| A7034 |
Nasal application device |
54 |
41 |
$2K |
| A7030 |
Cpap full face mask |
14 |
13 |
$990.24 |
| A7033 |
Replacement nasal pillows |
27 |
24 |
$860.22 |
| A7035 |
Pos airway press headgear |
47 |
41 |
$627.27 |
| A7046 |
Repl water chamber, pap dev |
41 |
38 |
$367.74 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$99.20 |