| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,863 |
6,080 |
$233K |
| A7031 |
Replacement facemask interfa |
2,436 |
2,244 |
$64K |
| A7030 |
Cpap full face mask |
1,243 |
1,130 |
$60K |
| E0601 |
Cont airway pressure device |
1,643 |
1,493 |
$44K |
| E0431 |
Portable gaseous 02 |
3,427 |
3,063 |
$27K |
| E0562 |
Humidifier heated used w pap |
2,000 |
1,828 |
$25K |
| A7037 |
Pos airway pressure tubing |
1,774 |
1,625 |
$13K |
| A7038 |
Pos airway pressure filter |
3,988 |
3,674 |
$12K |
| A7035 |
Pos airway press headgear |
1,065 |
981 |
$10K |
| A7034 |
Nasal application device |
220 |
204 |
$4K |
| A7046 |
Repl water chamber, pap dev |
545 |
505 |
$3K |
| A7032 |
Replacement nasal cushion |
158 |
139 |
$3K |
| E0570 |
Nebulizer with compression |
420 |
368 |
$1K |
| A7003 |
Nebulizer administration set |
160 |
115 |
$95.87 |