| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,728 |
2,165 |
$17K |
| E0431 |
Portable gaseous 02 |
1,463 |
1,156 |
$2K |
| E0601 |
Cont airway pressure device |
274 |
174 |
$1K |
| A7037 |
Pos airway pressure tubing |
254 |
168 |
$686.17 |
| A7030 |
Cpap full face mask |
94 |
62 |
$439.54 |
| E0562 |
Humidifier heated used w pap |
98 |
78 |
$434.57 |
| A7031 |
Replacement facemask interfa |
59 |
37 |
$313.39 |
| E1392 |
Portable oxygen concentrator |
107 |
81 |
$306.60 |
| A7035 |
Pos airway press headgear |
94 |
64 |
$266.05 |
| A7038 |
Pos airway pressure filter |
504 |
329 |
$185.88 |
| E0570 |
Nebulizer with compression |
195 |
136 |
$148.85 |
| A7046 |
Repl water chamber, pap dev |
45 |
30 |
$112.15 |
| A7003 |
Nebulizer administration set |
37 |
31 |
$0.00 |