| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,949 |
1,874 |
$114K |
| E0601 |
Cont airway pressure device |
974 |
894 |
$53K |
| A7031 |
Replacement facemask interfa |
907 |
880 |
$39K |
| A7030 |
Cpap full face mask |
378 |
369 |
$28K |
| E0431 |
Portable gaseous 02 |
1,141 |
1,087 |
$12K |
| A7037 |
Pos airway pressure tubing |
705 |
658 |
$11K |
| A7038 |
Pos airway pressure filter |
1,542 |
1,481 |
$10K |
| E0562 |
Humidifier heated used w pap |
414 |
409 |
$9K |
| A7035 |
Pos airway press headgear |
371 |
340 |
$6K |
| A7034 |
Nasal application device |
59 |
52 |
$3K |
| E0570 |
Nebulizer with compression |
393 |
359 |
$3K |
| A7046 |
Repl water chamber, pap dev |
106 |
106 |
$914.88 |
| A7032 |
Replacement nasal cushion |
17 |
13 |
$757.88 |
| A7039 |
Filter, non disposable w pap |
31 |
27 |
$161.92 |