| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,297 |
7,842 |
$442K |
| E0601 |
Cont airway pressure device |
2,061 |
1,935 |
$130K |
| A7030 |
Cpap full face mask |
1,038 |
955 |
$93K |
| E0562 |
Humidifier heated used w pap |
445 |
419 |
$82K |
| K0738 |
Portable gas oxygen system |
3,214 |
3,008 |
$78K |
| A4604 |
Tubing with heating element |
1,622 |
1,479 |
$50K |
| E0441 |
Stationary o2 contents, gas |
1,029 |
1,001 |
$47K |
| A7034 |
Nasal application device |
904 |
842 |
$44K |
| A7031 |
Replacement facemask interfa |
1,103 |
992 |
$42K |
| A7035 |
Pos airway press headgear |
1,153 |
1,064 |
$23K |
| A7038 |
Pos airway pressure filter |
2,211 |
2,005 |
$12K |
| E0431 |
Portable gaseous 02 |
1,029 |
975 |
$12K |
| A7032 |
Replacement nasal cushion |
440 |
404 |
$10K |
| A7037 |
Pos airway pressure tubing |
337 |
333 |
$8K |
| A7046 |
Repl water chamber, pap dev |
729 |
676 |
$8K |
| E1392 |
Portable oxygen concentrator |
301 |
288 |
$8K |
| E0570 |
Nebulizer with compression |
209 |
203 |
$4K |
| A7033 |
Replacement nasal pillows |
164 |
151 |
$3K |
| E0443 |
Portable 02 contents, gas |
35 |
24 |
$199.60 |