| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,846 |
1,814 |
$113K |
| E0601 |
Cont airway pressure device |
537 |
506 |
$45K |
| E0562 |
Humidifier heated used w pap |
154 |
149 |
$18K |
| E0431 |
Portable gaseous 02 |
988 |
974 |
$13K |
| A7034 |
Nasal application device |
147 |
144 |
$13K |
| A4604 |
Tubing with heating element |
146 |
141 |
$8K |
| A7038 |
Pos airway pressure filter |
713 |
695 |
$6K |
| A7035 |
Pos airway press headgear |
197 |
190 |
$6K |
| A7032 |
Replacement nasal cushion |
28 |
28 |
$2K |
| A7031 |
Replacement facemask interfa |
26 |
24 |
$2K |
| K0001 |
Standard wheelchair |
27 |
25 |
$597.61 |
| A7046 |
Repl water chamber, pap dev |
27 |
27 |
$410.45 |
| A7037 |
Pos airway pressure tubing |
13 |
12 |
$323.61 |