| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,737 |
5,964 |
$221K |
| E0601 |
Cont airway pressure device |
929 |
816 |
$29K |
| E0431 |
Portable gaseous 02 |
2,771 |
2,511 |
$20K |
| A7030 |
Cpap full face mask |
234 |
205 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,133 |
1,014 |
$9K |
| E0562 |
Humidifier heated used w pap |
729 |
652 |
$7K |
| A7031 |
Replacement facemask interfa |
310 |
273 |
$6K |
| A7038 |
Pos airway pressure filter |
1,407 |
1,213 |
$3K |
| A7035 |
Pos airway press headgear |
251 |
231 |
$2K |
| A7046 |
Repl water chamber, pap dev |
249 |
223 |
$2K |
| E0570 |
Nebulizer with compression |
141 |
128 |
$2K |
| A7039 |
Filter, non disposable w pap |
75 |
68 |
$214.37 |
| A9279 |
Monitoring feature/devicenoc |
12 |
12 |
$28.00 |