| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,502 |
3,825 |
$141K |
| A7031 |
Replacement facemask interfa |
1,482 |
1,285 |
$38K |
| A7030 |
Cpap full face mask |
487 |
400 |
$18K |
| E0431 |
Portable gaseous 02 |
1,643 |
1,414 |
$14K |
| A4604 |
Tubing with heating element |
683 |
574 |
$9K |
| E0601 |
Cont airway pressure device |
321 |
270 |
$8K |
| A7038 |
Pos airway pressure filter |
2,238 |
1,928 |
$6K |
| E1392 |
Portable oxygen concentrator |
465 |
393 |
$3K |
| A7035 |
Pos airway press headgear |
345 |
278 |
$2K |
| E0562 |
Humidifier heated used w pap |
146 |
132 |
$2K |
| A7046 |
Repl water chamber, pap dev |
77 |
62 |
$227.47 |