| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,864 |
8,255 |
$558K |
| A7030 |
Cpap full face mask |
1,554 |
1,451 |
$118K |
| K0738 |
Portable gas oxygen system |
3,590 |
3,300 |
$92K |
| A7034 |
Nasal application device |
1,358 |
1,266 |
$67K |
| A7031 |
Replacement facemask interfa |
1,876 |
1,727 |
$57K |
| A4604 |
Tubing with heating element |
1,997 |
1,844 |
$57K |
| E0601 |
Cont airway pressure device |
835 |
721 |
$33K |
| A7035 |
Pos airway press headgear |
1,511 |
1,409 |
$24K |
| E1392 |
Portable oxygen concentrator |
1,266 |
1,171 |
$23K |
| A7032 |
Replacement nasal cushion |
974 |
888 |
$20K |
| E0441 |
Stationary o2 contents, gas |
368 |
332 |
$17K |
| A7038 |
Pos airway pressure filter |
3,858 |
3,544 |
$16K |
| E0431 |
Portable gaseous 02 |
1,120 |
1,056 |
$16K |
| A7046 |
Repl water chamber, pap dev |
1,288 |
1,209 |
$12K |
| A7033 |
Replacement nasal pillows |
367 |
335 |
$6K |
| E0562 |
Humidifier heated used w pap |
14 |
13 |
$2K |
| E0570 |
Nebulizer with compression |
230 |
209 |
$1K |
| A7037 |
Pos airway pressure tubing |
15 |
15 |
$165.68 |