| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,878 |
5,434 |
$169K |
| E0431 |
Portable gaseous 02 |
3,001 |
2,737 |
$19K |
| E0570 |
Nebulizer with compression |
1,199 |
1,098 |
$6K |
| E1392 |
Portable oxygen concentrator |
166 |
164 |
$2K |
| A7038 |
Pos airway pressure filter |
1,308 |
1,138 |
$1K |
| E0562 |
Humidifier heated used w pap |
235 |
205 |
$937.50 |
| E0601 |
Cont airway pressure device |
171 |
131 |
$874.36 |
| A7031 |
Replacement facemask interfa |
286 |
241 |
$680.64 |
| A7030 |
Cpap full face mask |
48 |
42 |
$300.79 |
| A7037 |
Pos airway pressure tubing |
150 |
121 |
$165.09 |
| A7035 |
Pos airway press headgear |
48 |
37 |
$83.91 |
| A7003 |
Nebulizer administration set |
14 |
12 |
$3.45 |