| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,611 |
4,124 |
$234K |
| E0601 |
Cont airway pressure device |
2,093 |
1,672 |
$40K |
| E0431 |
Portable gaseous 02 |
1,472 |
1,177 |
$21K |
| A7030 |
Cpap full face mask |
351 |
245 |
$16K |
| A7031 |
Replacement facemask interfa |
606 |
395 |
$13K |
| K0738 |
Portable gas oxygen system |
1,281 |
924 |
$12K |
| A7038 |
Pos airway pressure filter |
2,211 |
1,529 |
$10K |
| E1392 |
Portable oxygen concentrator |
244 |
214 |
$9K |
| A7035 |
Pos airway press headgear |
740 |
497 |
$7K |
| A4604 |
Tubing with heating element |
251 |
171 |
$5K |
| A7037 |
Pos airway pressure tubing |
305 |
207 |
$2K |
| A7034 |
Nasal application device |
93 |
63 |
$2K |
| A7046 |
Repl water chamber, pap dev |
214 |
148 |
$1K |
| E0570 |
Nebulizer with compression |
80 |
64 |
$556.14 |