| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,244 |
6,143 |
$249K |
| E0601 |
Cont airway pressure device |
1,266 |
1,128 |
$35K |
| E0431 |
Portable gaseous 02 |
3,987 |
3,375 |
$30K |
| E0562 |
Humidifier heated used w pap |
1,335 |
1,168 |
$12K |
| A7031 |
Replacement facemask interfa |
500 |
451 |
$10K |
| A7030 |
Cpap full face mask |
168 |
153 |
$10K |
| A4604 |
Tubing with heating element |
241 |
222 |
$6K |
| A7035 |
Pos airway press headgear |
330 |
289 |
$4K |
| A7034 |
Nasal application device |
102 |
93 |
$4K |
| A7038 |
Pos airway pressure filter |
1,099 |
992 |
$2K |
| E0570 |
Nebulizer with compression |
54 |
47 |
$2K |
| A7032 |
Replacement nasal cushion |
95 |
91 |
$2K |
| A7046 |
Repl water chamber, pap dev |
77 |
71 |
$490.53 |
| A7033 |
Replacement nasal pillows |
31 |
26 |
$390.18 |
| A7039 |
Filter, non disposable w pap |
63 |
60 |
$385.53 |
| A7037 |
Pos airway pressure tubing |
28 |
25 |
$214.81 |