| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0431 |
Portable gaseous 02 |
1,725 |
1,135 |
$64K |
| E1390 |
Oxygen concentrator |
2,325 |
1,626 |
$59K |
| E0601 |
Cont airway pressure device |
2,181 |
1,752 |
$37K |
| E0562 |
Humidifier heated used w pap |
1,497 |
1,137 |
$14K |
| A7031 |
Replacement facemask interfa |
272 |
227 |
$2K |
| E0570 |
Nebulizer with compression |
490 |
401 |
$806.40 |
| A7037 |
Pos airway pressure tubing |
854 |
659 |
$787.49 |
| A7030 |
Cpap full face mask |
200 |
172 |
$594.78 |
| A7034 |
Nasal application device |
396 |
302 |
$410.83 |
| A7038 |
Pos airway pressure filter |
1,631 |
1,297 |
$376.81 |
| A4604 |
Tubing with heating element |
59 |
55 |
$199.90 |
| A7046 |
Repl water chamber, pap dev |
161 |
128 |
$139.65 |
| A7035 |
Pos airway press headgear |
432 |
350 |
$134.31 |
| A7033 |
Replacement nasal pillows |
41 |
25 |
$63.36 |
| A7032 |
Replacement nasal cushion |
59 |
50 |
$62.58 |
| A7039 |
Filter, non disposable w pap |
41 |
25 |
$0.00 |