| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,244 |
9,717 |
$405K |
| E0431 |
Portable gaseous 02 |
6,170 |
5,819 |
$46K |
| A7031 |
Replacement facemask interfa |
1,361 |
1,341 |
$46K |
| E0601 |
Cont airway pressure device |
806 |
783 |
$32K |
| A7030 |
Cpap full face mask |
373 |
364 |
$26K |
| E1392 |
Portable oxygen concentrator |
1,740 |
1,659 |
$25K |
| E0562 |
Humidifier heated used w pap |
1,107 |
1,083 |
$14K |
| A7038 |
Pos airway pressure filter |
2,099 |
2,032 |
$9K |
| A7037 |
Pos airway pressure tubing |
455 |
438 |
$5K |
| E0570 |
Nebulizer with compression |
93 |
92 |
$3K |
| A7035 |
Pos airway press headgear |
184 |
183 |
$2K |
| K0738 |
Portable gas oxygen system |
44 |
44 |
$2K |
| A7033 |
Replacement nasal pillows |
24 |
24 |
$1K |
| A4604 |
Tubing with heating element |
26 |
25 |
$849.57 |
| A7046 |
Repl water chamber, pap dev |
70 |
70 |
$730.70 |
| A7034 |
Nasal application device |
12 |
12 |
$531.60 |