| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,219 |
2,021 |
$70K |
| A7031 |
Replacement facemask interfa |
755 |
657 |
$16K |
| E0601 |
Cont airway pressure device |
619 |
571 |
$13K |
| A7030 |
Cpap full face mask |
425 |
372 |
$12K |
| A4604 |
Tubing with heating element |
778 |
675 |
$10K |
| E0562 |
Humidifier heated used w pap |
681 |
653 |
$6K |
| E0434 |
Portable liquid 02 |
967 |
869 |
$6K |
| A7038 |
Pos airway pressure filter |
1,524 |
1,347 |
$3K |
| A7035 |
Pos airway press headgear |
252 |
224 |
$1K |
| E0431 |
Portable gaseous 02 |
147 |
135 |
$1K |
| E0439 |
Stationary liquid 02 |
48 |
37 |
$1K |
| E0570 |
Nebulizer with compression |
12 |
12 |
$123.50 |
| A7046 |
Repl water chamber, pap dev |
44 |
42 |
$98.56 |
| A7039 |
Filter, non disposable w pap |
14 |
12 |
$26.92 |