| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,808 |
4,412 |
$180K |
| E0431 |
Portable gaseous 02 |
3,480 |
2,549 |
$53K |
| A7030 |
Cpap full face mask |
723 |
697 |
$29K |
| E0601 |
Cont airway pressure device |
1,088 |
896 |
$20K |
| A7031 |
Replacement facemask interfa |
819 |
782 |
$15K |
| E0562 |
Humidifier heated used w pap |
1,591 |
1,321 |
$13K |
| A7037 |
Pos airway pressure tubing |
980 |
916 |
$9K |
| A7035 |
Pos airway press headgear |
654 |
623 |
$7K |
| A7038 |
Pos airway pressure filter |
2,008 |
1,871 |
$5K |
| E1392 |
Portable oxygen concentrator |
385 |
350 |
$5K |
| A7046 |
Repl water chamber, pap dev |
831 |
770 |
$4K |
| E0570 |
Nebulizer with compression |
225 |
210 |
$603.09 |
| A7003 |
Nebulizer administration set |
30 |
27 |
$24.12 |