| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,308 |
4,941 |
$231K |
| E0601 |
Cont airway pressure device |
1,939 |
1,889 |
$88K |
| A7030 |
Cpap full face mask |
341 |
316 |
$22K |
| K0738 |
Portable gas oxygen system |
853 |
815 |
$18K |
| A4604 |
Tubing with heating element |
393 |
372 |
$10K |
| A7038 |
Pos airway pressure filter |
1,002 |
944 |
$9K |
| E0431 |
Portable gaseous 02 |
868 |
837 |
$8K |
| A7031 |
Replacement facemask interfa |
180 |
165 |
$8K |
| E1392 |
Portable oxygen concentrator |
480 |
469 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
63 |
63 |
$7K |
| A7035 |
Pos airway press headgear |
455 |
432 |
$6K |
| A7034 |
Nasal application device |
40 |
40 |
$2K |
| A7046 |
Repl water chamber, pap dev |
102 |
100 |
$863.57 |
| A7037 |
Pos airway pressure tubing |
25 |
25 |
$326.27 |