| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,592 |
9,223 |
$436K |
| A7030 |
Cpap full face mask |
787 |
771 |
$64K |
| A7031 |
Replacement facemask interfa |
1,924 |
1,882 |
$60K |
| E0431 |
Portable gaseous 02 |
3,804 |
3,661 |
$32K |
| E1392 |
Portable oxygen concentrator |
2,286 |
2,199 |
$27K |
| A4604 |
Tubing with heating element |
863 |
842 |
$24K |
| E0601 |
Cont airway pressure device |
635 |
622 |
$22K |
| E0562 |
Humidifier heated used w pap |
1,336 |
1,296 |
$16K |
| A7038 |
Pos airway pressure filter |
2,723 |
2,634 |
$10K |
| A7035 |
Pos airway press headgear |
415 |
404 |
$6K |
| E0570 |
Nebulizer with compression |
969 |
953 |
$4K |
| A7046 |
Repl water chamber, pap dev |
174 |
170 |
$2K |
| A7003 |
Nebulizer administration set |
73 |
65 |
$126.50 |