| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,856 |
6,289 |
$206K |
| E0431 |
Portable gaseous 02 |
3,988 |
3,640 |
$43K |
| E0601 |
Cont airway pressure device |
1,097 |
1,024 |
$37K |
| E0562 |
Humidifier heated used w pap |
385 |
336 |
$7K |
| A7037 |
Pos airway pressure tubing |
688 |
615 |
$6K |
| A7038 |
Pos airway pressure filter |
2,671 |
2,450 |
$6K |
| A7030 |
Cpap full face mask |
183 |
166 |
$5K |
| A7031 |
Replacement facemask interfa |
278 |
252 |
$4K |
| A7035 |
Pos airway press headgear |
378 |
338 |
$4K |
| E0570 |
Nebulizer with compression |
368 |
303 |
$4K |
| A7034 |
Nasal application device |
13 |
13 |
$388.25 |
| A7033 |
Replacement nasal pillows |
13 |
12 |
$305.23 |
| A7003 |
Nebulizer administration set |
14 |
13 |
$29.04 |