| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,647 |
5,175 |
$140K |
| E0601 |
Cont airway pressure device |
2,736 |
2,096 |
$30K |
| E0431 |
Portable gaseous 02 |
6,145 |
4,225 |
$8K |
| E0562 |
Humidifier heated used w pap |
1,802 |
1,386 |
$6K |
| A7038 |
Pos airway pressure filter |
1,210 |
924 |
$2K |
| A7037 |
Pos airway pressure tubing |
728 |
567 |
$1K |
| A7035 |
Pos airway press headgear |
266 |
210 |
$685.63 |
| E0570 |
Nebulizer with compression |
144 |
88 |
$251.77 |
| A9279 |
Monitoring feature/devicenoc |
627 |
460 |
$156.00 |
| A7030 |
Cpap full face mask |
95 |
76 |
$135.26 |
| A7034 |
Nasal application device |
64 |
54 |
$66.16 |
| A7046 |
Repl water chamber, pap dev |
44 |
36 |
$36.26 |
| A7039 |
Filter, non disposable w pap |
37 |
28 |
$11.08 |
| A7031 |
Replacement facemask interfa |
17 |
13 |
$10.02 |