| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,303 |
3,965 |
$177K |
| A7031 |
Replacement facemask interfa |
493 |
484 |
$23K |
| A7030 |
Cpap full face mask |
442 |
436 |
$22K |
| E0601 |
Cont airway pressure device |
533 |
515 |
$21K |
| A4604 |
Tubing with heating element |
856 |
834 |
$19K |
| E0431 |
Portable gaseous 02 |
1,590 |
1,484 |
$12K |
| A7034 |
Nasal application device |
279 |
269 |
$11K |
| E0562 |
Humidifier heated used w pap |
963 |
943 |
$10K |
| E1392 |
Portable oxygen concentrator |
833 |
755 |
$9K |
| A7038 |
Pos airway pressure filter |
1,196 |
1,165 |
$7K |
| A7035 |
Pos airway press headgear |
561 |
546 |
$6K |
| E0466 |
Home vent non-invasive inter |
12 |
12 |
$4K |
| E0570 |
Nebulizer with compression |
589 |
514 |
$3K |
| A7046 |
Repl water chamber, pap dev |
251 |
242 |
$2K |
| A7032 |
Replacement nasal cushion |
14 |
14 |
$1K |
| A7037 |
Pos airway pressure tubing |
42 |
41 |
$311.50 |