| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,255 |
6,007 |
$294K |
| E0601 |
Cont airway pressure device |
1,255 |
1,230 |
$66K |
| A7030 |
Cpap full face mask |
500 |
498 |
$45K |
| E0431 |
Portable gaseous 02 |
4,256 |
4,083 |
$38K |
| A7031 |
Replacement facemask interfa |
488 |
484 |
$33K |
| A4604 |
Tubing with heating element |
907 |
890 |
$31K |
| E0562 |
Humidifier heated used w pap |
1,383 |
1,365 |
$22K |
| A7038 |
Pos airway pressure filter |
1,288 |
1,255 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
49 |
49 |
$5K |
| A7035 |
Pos airway press headgear |
250 |
246 |
$4K |
| E1392 |
Portable oxygen concentrator |
121 |
112 |
$2K |
| A7046 |
Repl water chamber, pap dev |
76 |
75 |
$747.47 |