| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,053 |
8,553 |
$524K |
| E0431 |
Portable gaseous 02 |
6,145 |
5,634 |
$86K |
| A7031 |
Replacement facemask interfa |
1,216 |
1,099 |
$51K |
| E0601 |
Cont airway pressure device |
591 |
514 |
$25K |
| A7030 |
Cpap full face mask |
292 |
272 |
$21K |
| E0562 |
Humidifier heated used w pap |
815 |
744 |
$15K |
| A7038 |
Pos airway pressure filter |
2,264 |
2,091 |
$10K |
| A7037 |
Pos airway pressure tubing |
555 |
527 |
$8K |
| E0570 |
Nebulizer with compression |
1,331 |
1,255 |
$7K |
| A7035 |
Pos airway press headgear |
225 |
203 |
$3K |
| A4604 |
Tubing with heating element |
12 |
12 |
$729.07 |
| E1392 |
Portable oxygen concentrator |
85 |
85 |
$579.85 |
| A7046 |
Repl water chamber, pap dev |
39 |
37 |
$259.17 |
| Q0513 |
Disp fee inhal drugs/30 days |
31 |
26 |
$248.55 |