| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,936 |
1,769 |
$113K |
| E0601 |
Cont airway pressure device |
1,202 |
1,188 |
$84K |
| E0562 |
Humidifier heated used w pap |
1,407 |
1,374 |
$26K |
| E1392 |
Portable oxygen concentrator |
1,252 |
1,122 |
$24K |
| A7030 |
Cpap full face mask |
201 |
196 |
$23K |
| A4604 |
Tubing with heating element |
463 |
459 |
$20K |
| A7034 |
Nasal application device |
210 |
210 |
$17K |
| A7031 |
Replacement facemask interfa |
277 |
273 |
$15K |
| A7032 |
Replacement nasal cushion |
241 |
240 |
$13K |
| A7038 |
Pos airway pressure filter |
898 |
888 |
$8K |
| A7035 |
Pos airway press headgear |
249 |
248 |
$6K |
| A7033 |
Replacement nasal pillows |
130 |
129 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
28 |
26 |
$4K |
| E0431 |
Portable gaseous 02 |
373 |
371 |
$1K |
| A7046 |
Repl water chamber, pap dev |
65 |
65 |
$826.86 |