| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,427 |
15,676 |
$907K |
| E0601 |
Cont airway pressure device |
2,709 |
2,406 |
$109K |
| E0431 |
Portable gaseous 02 |
10,579 |
9,144 |
$105K |
| A7030 |
Cpap full face mask |
971 |
892 |
$70K |
| A7037 |
Pos airway pressure tubing |
2,195 |
1,919 |
$32K |
| E0562 |
Humidifier heated used w pap |
1,027 |
873 |
$31K |
| A7034 |
Nasal application device |
583 |
534 |
$23K |
| A7035 |
Pos airway press headgear |
1,166 |
1,052 |
$17K |
| E0570 |
Nebulizer with compression |
1,792 |
1,592 |
$14K |
| A7038 |
Pos airway pressure filter |
3,025 |
2,331 |
$13K |
| A7032 |
Replacement nasal cushion |
243 |
234 |
$5K |
| A7031 |
Replacement facemask interfa |
247 |
226 |
$5K |
| A7046 |
Repl water chamber, pap dev |
354 |
333 |
$3K |
| E1392 |
Portable oxygen concentrator |
107 |
94 |
$2K |
| A7039 |
Filter, non disposable w pap |
317 |
282 |
$2K |
| A7036 |
Pos airway press chinstrap |
16 |
15 |
$126.72 |
| A7003 |
Nebulizer administration set |
29 |
25 |
$37.98 |