| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,197 |
5,484 |
$152K |
| E0431 |
Portable gaseous 02 |
4,620 |
4,217 |
$92K |
| E0601 |
Cont airway pressure device |
854 |
649 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,067 |
946 |
$9K |
| A7030 |
Cpap full face mask |
170 |
154 |
$7K |
| A7038 |
Pos airway pressure filter |
1,947 |
1,734 |
$7K |
| A7034 |
Nasal application device |
218 |
186 |
$5K |
| A7031 |
Replacement facemask interfa |
230 |
206 |
$5K |
| A7035 |
Pos airway press headgear |
399 |
349 |
$4K |
| E0570 |
Nebulizer with compression |
678 |
664 |
$2K |
| A7046 |
Repl water chamber, pap dev |
218 |
206 |
$1K |
| A7039 |
Filter, non disposable w pap |
73 |
62 |
$187.97 |
| E0562 |
Humidifier heated used w pap |
33 |
27 |
$129.62 |