| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,265 |
8,609 |
$665K |
| E0431 |
Portable gaseous 02 |
6,016 |
5,524 |
$74K |
| A7031 |
Replacement facemask interfa |
1,712 |
1,610 |
$72K |
| A7030 |
Cpap full face mask |
553 |
529 |
$53K |
| E0466 |
Home vent non-invasive inter |
74 |
73 |
$43K |
| E0601 |
Cont airway pressure device |
722 |
666 |
$32K |
| A4604 |
Tubing with heating element |
628 |
590 |
$23K |
| A7038 |
Pos airway pressure filter |
2,653 |
2,504 |
$15K |
| E0562 |
Humidifier heated used w pap |
761 |
709 |
$13K |
| A7035 |
Pos airway press headgear |
418 |
387 |
$8K |
| E0570 |
Nebulizer with compression |
460 |
422 |
$3K |
| A7046 |
Repl water chamber, pap dev |
214 |
210 |
$2K |
| A7034 |
Nasal application device |
12 |
12 |
$616.62 |