| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,683 |
1,424 |
$92K |
| E0601 |
Cont airway pressure device |
864 |
811 |
$50K |
| A7030 |
Cpap full face mask |
421 |
399 |
$43K |
| A4604 |
Tubing with heating element |
610 |
568 |
$20K |
| A7031 |
Replacement facemask interfa |
518 |
480 |
$18K |
| E0562 |
Humidifier heated used w pap |
803 |
763 |
$14K |
| E0431 |
Portable gaseous 02 |
1,149 |
963 |
$10K |
| A7035 |
Pos airway press headgear |
407 |
383 |
$8K |
| A7038 |
Pos airway pressure filter |
1,011 |
954 |
$6K |
| E0570 |
Nebulizer with compression |
378 |
365 |
$4K |
| A7034 |
Nasal application device |
26 |
26 |
$1K |
| A7046 |
Repl water chamber, pap dev |
26 |
25 |
$235.59 |