| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,033 |
2,639 |
$91K |
| A7031 |
Replacement facemask interfa |
1,449 |
1,314 |
$31K |
| E0601 |
Cont airway pressure device |
1,259 |
1,097 |
$26K |
| A7030 |
Cpap full face mask |
516 |
445 |
$19K |
| E0431 |
Portable gaseous 02 |
2,063 |
1,864 |
$16K |
| E0562 |
Humidifier heated used w pap |
1,271 |
1,162 |
$14K |
| E0570 |
Nebulizer with compression |
1,513 |
1,339 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,184 |
1,034 |
$8K |
| A7038 |
Pos airway pressure filter |
2,439 |
2,159 |
$6K |
| A7035 |
Pos airway press headgear |
421 |
373 |
$4K |
| A7034 |
Nasal application device |
26 |
25 |
$550.87 |
| A7046 |
Repl water chamber, pap dev |
66 |
65 |
$351.35 |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$178.38 |
| A7033 |
Replacement nasal pillows |
14 |
13 |
$152.12 |