| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,736 |
10,045 |
$682K |
| K0738 |
Portable gas oxygen system |
3,586 |
3,346 |
$100K |
| A7030 |
Cpap full face mask |
1,153 |
1,086 |
$86K |
| A7034 |
Nasal application device |
1,342 |
1,267 |
$68K |
| E0601 |
Cont airway pressure device |
1,401 |
1,255 |
$66K |
| A7031 |
Replacement facemask interfa |
1,531 |
1,407 |
$46K |
| E0431 |
Portable gaseous 02 |
3,393 |
3,201 |
$46K |
| A4604 |
Tubing with heating element |
1,336 |
1,251 |
$37K |
| E0441 |
Stationary o2 contents, gas |
684 |
667 |
$32K |
| E0562 |
Humidifier heated used w pap |
140 |
130 |
$25K |
| A7035 |
Pos airway press headgear |
1,352 |
1,281 |
$22K |
| E1392 |
Portable oxygen concentrator |
1,004 |
895 |
$18K |
| A7032 |
Replacement nasal cushion |
748 |
681 |
$16K |
| A7038 |
Pos airway pressure filter |
3,566 |
3,292 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,154 |
1,084 |
$11K |
| A7033 |
Replacement nasal pillows |
709 |
656 |
$11K |
| A7037 |
Pos airway pressure tubing |
394 |
378 |
$6K |
| E0570 |
Nebulizer with compression |
320 |
282 |
$2K |