| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,542 |
3,194 |
$276K |
| K0738 |
Portable gas oxygen system |
2,102 |
1,891 |
$47K |
| A7030 |
Cpap full face mask |
254 |
239 |
$15K |
| A4604 |
Tubing with heating element |
347 |
324 |
$9K |
| E0570 |
Nebulizer with compression |
710 |
699 |
$8K |
| E0441 |
Stationary o2 contents, gas |
173 |
147 |
$8K |
| E0601 |
Cont airway pressure device |
122 |
100 |
$7K |
| A7031 |
Replacement facemask interfa |
262 |
241 |
$7K |
| A7038 |
Pos airway pressure filter |
911 |
821 |
$3K |
| A7034 |
Nasal application device |
52 |
51 |
$3K |
| A7035 |
Pos airway press headgear |
155 |
141 |
$2K |
| A7046 |
Repl water chamber, pap dev |
134 |
124 |
$1K |
| A7032 |
Replacement nasal cushion |
27 |
25 |
$771.68 |
| E0431 |
Portable gaseous 02 |
14 |
13 |
$246.09 |