| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,973 |
6,584 |
$296K |
| E0601 |
Cont airway pressure device |
4,420 |
3,256 |
$128K |
| A7038 |
Pos airway pressure filter |
1,690 |
1,437 |
$10K |
| E1392 |
Portable oxygen concentrator |
1,829 |
1,541 |
$7K |
| A7031 |
Replacement facemask interfa |
462 |
383 |
$5K |
| A7030 |
Cpap full face mask |
370 |
293 |
$5K |
| A4604 |
Tubing with heating element |
677 |
558 |
$4K |
| E0430 |
Oxygen system gas portable |
134 |
120 |
$3K |
| E0570 |
Nebulizer with compression |
717 |
600 |
$2K |
| A7035 |
Pos airway press headgear |
380 |
315 |
$2K |
| A7034 |
Nasal application device |
214 |
170 |
$2K |
| E0431 |
Portable gaseous 02 |
1,422 |
1,175 |
$2K |
| A7032 |
Replacement nasal cushion |
67 |
48 |
$366.72 |
| A7046 |
Repl water chamber, pap dev |
92 |
81 |
$291.27 |
| A7039 |
Filter, non disposable w pap |
120 |
106 |
$121.55 |
| A7037 |
Pos airway pressure tubing |
22 |
13 |
$32.80 |