| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
728 |
459 |
$17K |
| E0601 |
Cont airway pressure device |
994 |
768 |
$10K |
| E0562 |
Humidifier heated used w pap |
734 |
523 |
$3K |
| E0570 |
Nebulizer with compression |
783 |
704 |
$1K |
| E0431 |
Portable gaseous 02 |
234 |
140 |
$1K |
| A4604 |
Tubing with heating element |
208 |
164 |
$1K |
| A7030 |
Cpap full face mask |
76 |
59 |
$1K |
| A7031 |
Replacement facemask interfa |
57 |
38 |
$1K |
| E0470 |
Rad w/o backup non-inv intfc |
13 |
12 |
$610.84 |
| A7038 |
Pos airway pressure filter |
389 |
298 |
$588.35 |
| E0260 |
Hosp bed semi-electr w/ matt |
45 |
36 |
$509.81 |
| A7035 |
Pos airway press headgear |
17 |
12 |
$85.31 |