| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,625 |
5,230 |
$306K |
| E0431 |
Portable gaseous 02 |
4,312 |
3,372 |
$45K |
| E0601 |
Cont airway pressure device |
472 |
416 |
$20K |
| A7031 |
Replacement facemask interfa |
520 |
445 |
$17K |
| E0570 |
Nebulizer with compression |
2,114 |
1,599 |
$11K |
| A7030 |
Cpap full face mask |
154 |
125 |
$10K |
| E0562 |
Humidifier heated used w pap |
547 |
483 |
$9K |
| A7038 |
Pos airway pressure filter |
1,243 |
1,072 |
$6K |
| A7035 |
Pos airway press headgear |
67 |
53 |
$876.88 |
| A7037 |
Pos airway pressure tubing |
31 |
27 |
$526.17 |
| A4604 |
Tubing with heating element |
15 |
12 |
$505.27 |
| A7046 |
Repl water chamber, pap dev |
15 |
13 |
$125.11 |