| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,086 |
7,406 |
$336K |
| E0431 |
Portable gaseous 02 |
4,148 |
3,837 |
$197K |
| E0562 |
Humidifier heated used w pap |
1,536 |
1,419 |
$71K |
| E0601 |
Cont airway pressure device |
2,108 |
1,885 |
$45K |
| E0443 |
Portable 02 contents, gas |
1,001 |
803 |
$25K |
| A7030 |
Cpap full face mask |
331 |
298 |
$15K |
| K0738 |
Portable gas oxygen system |
453 |
381 |
$1K |
| A7038 |
Pos airway pressure filter |
782 |
674 |
$999.60 |
| A7035 |
Pos airway press headgear |
451 |
409 |
$554.86 |
| A7037 |
Pos airway pressure tubing |
69 |
66 |
$427.15 |
| A7031 |
Replacement facemask interfa |
155 |
132 |
$201.39 |
| A4604 |
Tubing with heating element |
39 |
36 |
$11.43 |