| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
314 |
300 |
$4K |
| E1390 |
Oxygen concentrator |
407 |
394 |
$3K |
| E0431 |
Portable gaseous 02 |
291 |
281 |
$434.53 |
| E0562 |
Humidifier heated used w pap |
211 |
209 |
$367.08 |
| E0570 |
Nebulizer with compression |
345 |
321 |
$303.99 |
| A7031 |
Replacement facemask interfa |
159 |
151 |
$23.23 |
| A7037 |
Pos airway pressure tubing |
183 |
138 |
$0.00 |
| A7030 |
Cpap full face mask |
152 |
134 |
$0.00 |
| A7032 |
Replacement nasal cushion |
29 |
29 |
$0.00 |
| A7038 |
Pos airway pressure filter |
437 |
318 |
$0.00 |
| A7046 |
Repl water chamber, pap dev |
113 |
96 |
$0.00 |
| A4604 |
Tubing with heating element |
139 |
109 |
$0.00 |
| A7034 |
Nasal application device |
182 |
137 |
$0.00 |
| A7035 |
Pos airway press headgear |
230 |
159 |
$0.00 |
| A7033 |
Replacement nasal pillows |
13 |
12 |
$0.00 |