| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,311 |
2,897 |
$207K |
| E0431 |
Portable gaseous 02 |
807 |
716 |
$9K |
| A7031 |
Replacement facemask interfa |
363 |
305 |
$6K |
| A7030 |
Cpap full face mask |
128 |
106 |
$6K |
| K0738 |
Portable gas oxygen system |
228 |
197 |
$4K |
| E1392 |
Portable oxygen concentrator |
205 |
174 |
$4K |
| A4604 |
Tubing with heating element |
217 |
184 |
$4K |
| A7038 |
Pos airway pressure filter |
636 |
515 |
$2K |
| E0601 |
Cont airway pressure device |
17 |
14 |
$1K |
| A7035 |
Pos airway press headgear |
34 |
25 |
$331.70 |
| A7046 |
Repl water chamber, pap dev |
29 |
25 |
$215.92 |