| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,096 |
10,249 |
$342K |
| E0431 |
Portable gaseous 02 |
2,498 |
2,311 |
$85K |
| K0738 |
Portable gas oxygen system |
2,789 |
2,647 |
$77K |
| E0601 |
Cont airway pressure device |
1,042 |
958 |
$23K |
| E0466 |
Home vent non-invasive inter |
39 |
38 |
$8K |
| E1392 |
Portable oxygen concentrator |
857 |
818 |
$7K |
| A7037 |
Pos airway pressure tubing |
354 |
341 |
$4K |
| A7030 |
Cpap full face mask |
40 |
40 |
$2K |
| A7035 |
Pos airway press headgear |
168 |
160 |
$2K |
| A7038 |
Pos airway pressure filter |
434 |
418 |
$1K |
| A7034 |
Nasal application device |
12 |
12 |
$702.11 |
| A7031 |
Replacement facemask interfa |
25 |
25 |
$347.61 |
| A7046 |
Repl water chamber, pap dev |
15 |
14 |
$29.39 |