| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,323 |
7,247 |
$476K |
| E0601 |
Cont airway pressure device |
1,177 |
1,174 |
$60K |
| E0431 |
Portable gaseous 02 |
3,937 |
3,912 |
$51K |
| E0570 |
Nebulizer with compression |
1,947 |
1,902 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
88 |
88 |
$8K |
| E0562 |
Humidifier heated used w pap |
854 |
851 |
$7K |
| A7038 |
Pos airway pressure filter |
469 |
464 |
$6K |
| A7030 |
Cpap full face mask |
63 |
63 |
$4K |
| A7031 |
Replacement facemask interfa |
104 |
103 |
$3K |
| E0561 |
Humidifier nonheated w pap |
377 |
375 |
$3K |
| A7035 |
Pos airway press headgear |
42 |
42 |
$681.15 |
| A7046 |
Repl water chamber, pap dev |
83 |
82 |
$432.92 |
| A7005 |
Nondisposable nebulizer set |
36 |
36 |
$414.17 |
| A7003 |
Nebulizer administration set |
39 |
38 |
$37.23 |