| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,341 |
5,805 |
$321K |
| A7031 |
Replacement facemask interfa |
1,298 |
1,095 |
$41K |
| E0431 |
Portable gaseous 02 |
4,837 |
3,183 |
$28K |
| A7030 |
Cpap full face mask |
209 |
176 |
$17K |
| E0570 |
Nebulizer with compression |
2,788 |
2,090 |
$15K |
| A7038 |
Pos airway pressure filter |
1,982 |
1,614 |
$7K |
| E0601 |
Cont airway pressure device |
183 |
147 |
$7K |
| A7037 |
Pos airway pressure tubing |
448 |
387 |
$7K |
| E0562 |
Humidifier heated used w pap |
539 |
480 |
$6K |
| A7035 |
Pos airway press headgear |
62 |
56 |
$968.22 |
| A7046 |
Repl water chamber, pap dev |
36 |
31 |
$276.36 |
| A7003 |
Nebulizer administration set |
64 |
25 |
$29.26 |