| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,804 |
4,569 |
$362K |
| E0601 |
Cont airway pressure device |
1,842 |
1,627 |
$53K |
| E1392 |
Portable oxygen concentrator |
2,415 |
2,300 |
$47K |
| A7031 |
Replacement facemask interfa |
871 |
838 |
$23K |
| A4604 |
Tubing with heating element |
678 |
600 |
$20K |
| E0431 |
Portable gaseous 02 |
1,214 |
1,160 |
$15K |
| A7038 |
Pos airway pressure filter |
2,930 |
2,753 |
$12K |
| A7035 |
Pos airway press headgear |
643 |
568 |
$11K |
| A7030 |
Cpap full face mask |
164 |
145 |
$9K |
| E0443 |
Portable 02 contents, gas |
201 |
155 |
$7K |
| E0114 |
Crutch underarm pair no wood |
87 |
67 |
$3K |
| A7032 |
Replacement nasal cushion |
89 |
81 |
$2K |
| A7046 |
Repl water chamber, pap dev |
146 |
140 |
$1K |
| E0562 |
Humidifier heated used w pap |
15 |
15 |
$261.76 |