| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,232 |
1,167 |
$43K |
| E0601 |
Cont airway pressure device |
435 |
384 |
$26K |
| A7030 |
Cpap full face mask |
119 |
100 |
$9K |
| A7031 |
Replacement facemask interfa |
181 |
158 |
$6K |
| E0562 |
Humidifier heated used w pap |
93 |
80 |
$5K |
| A4604 |
Tubing with heating element |
103 |
81 |
$3K |
| A7038 |
Pos airway pressure filter |
469 |
417 |
$3K |
| E0431 |
Portable gaseous 02 |
367 |
358 |
$2K |
| A7035 |
Pos airway press headgear |
81 |
77 |
$1K |
| A7034 |
Nasal application device |
16 |
13 |
$627.60 |
| A7039 |
Filter, non disposable w pap |
48 |
45 |
$224.94 |
| A7037 |
Pos airway pressure tubing |
13 |
13 |
$218.64 |
| A7046 |
Repl water chamber, pap dev |
18 |
15 |
$112.30 |