| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,025 |
8,288 |
$451K |
| E0431 |
Portable gaseous 02 |
7,488 |
5,234 |
$60K |
| E0601 |
Cont airway pressure device |
748 |
505 |
$15K |
| E0562 |
Humidifier heated used w pap |
1,408 |
1,013 |
$11K |
| A7038 |
Pos airway pressure filter |
1,895 |
1,370 |
$7K |
| A7031 |
Replacement facemask interfa |
342 |
230 |
$7K |
| A7037 |
Pos airway pressure tubing |
672 |
458 |
$5K |
| A7030 |
Cpap full face mask |
152 |
91 |
$3K |
| A7034 |
Nasal application device |
102 |
77 |
$2K |
| E0570 |
Nebulizer with compression |
201 |
127 |
$1K |
| A7035 |
Pos airway press headgear |
134 |
90 |
$667.16 |
| A7046 |
Repl water chamber, pap dev |
39 |
25 |
$139.86 |