| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,176 |
1,099 |
$81K |
| E0601 |
Cont airway pressure device |
591 |
545 |
$43K |
| E0562 |
Humidifier heated used w pap |
619 |
562 |
$9K |
| A7031 |
Replacement facemask interfa |
112 |
108 |
$4K |
| E0570 |
Nebulizer with compression |
130 |
121 |
$4K |
| A7038 |
Pos airway pressure filter |
658 |
614 |
$2K |
| A7035 |
Pos airway press headgear |
158 |
149 |
$2K |
| A7037 |
Pos airway pressure tubing |
131 |
117 |
$2K |
| A7030 |
Cpap full face mask |
12 |
12 |
$1K |
| A4604 |
Tubing with heating element |
12 |
12 |
$591.42 |
| A7003 |
Nebulizer administration set |
93 |
92 |
$367.58 |
| A7046 |
Repl water chamber, pap dev |
16 |
13 |
$99.00 |
| E1392 |
Portable oxygen concentrator |
14 |
12 |
$90.01 |