| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,207 |
3,700 |
$88K |
| A7030 |
Cpap full face mask |
535 |
480 |
$24K |
| A7031 |
Replacement facemask interfa |
1,148 |
901 |
$18K |
| K0738 |
Portable gas oxygen system |
673 |
609 |
$15K |
| E0601 |
Cont airway pressure device |
954 |
864 |
$15K |
| E0431 |
Portable gaseous 02 |
751 |
668 |
$7K |
| A7035 |
Pos airway press headgear |
450 |
387 |
$6K |
| A4604 |
Tubing with heating element |
559 |
475 |
$6K |
| A7038 |
Pos airway pressure filter |
1,840 |
1,402 |
$5K |
| A7034 |
Nasal application device |
134 |
91 |
$3K |
| A7046 |
Repl water chamber, pap dev |
357 |
300 |
$2K |
| A7037 |
Pos airway pressure tubing |
73 |
63 |
$1K |
| E1392 |
Portable oxygen concentrator |
261 |
237 |
$1K |
| E0570 |
Nebulizer with compression |
25 |
24 |
$312.16 |
| A7032 |
Replacement nasal cushion |
18 |
13 |
$221.23 |