| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,207 |
5,508 |
$431K |
| E0442 |
Stationary o2 contents, liq |
1,322 |
1,192 |
$52K |
| E0441 |
Stationary o2 contents, gas |
952 |
907 |
$51K |
| E0434 |
Portable liquid 02 |
1,228 |
1,134 |
$42K |
| E0601 |
Cont airway pressure device |
488 |
465 |
$25K |
| E0431 |
Portable gaseous 02 |
1,703 |
1,632 |
$24K |
| A7030 |
Cpap full face mask |
72 |
69 |
$6K |
| A7031 |
Replacement facemask interfa |
54 |
52 |
$2K |
| A7038 |
Pos airway pressure filter |
348 |
327 |
$2K |
| A7034 |
Nasal application device |
41 |
39 |
$2K |
| A4604 |
Tubing with heating element |
72 |
71 |
$2K |
| E1392 |
Portable oxygen concentrator |
130 |
111 |
$1K |
| A7037 |
Pos airway pressure tubing |
54 |
51 |
$1K |
| A7035 |
Pos airway press headgear |
61 |
59 |
$1K |
| A7046 |
Repl water chamber, pap dev |
33 |
32 |
$367.78 |